CT/MRI Request

CT/MRI Request

We can accept CT ONLY scan requests these appointments will be admitted by one of our CT Nurses and receive a full vet check before sedation/GA but no Referral Vet consultation will be included. Please complete our online CT request form.

Please fill in fields required *

Referring Practice Details

Client Details

Pet/Animal's Details

Insurance

Please ask your client to speak to their insurance company and give permission for Vale Referrals to speak to them to confirm/discuss details of their insurance policy on their behalf.

History (compulsory)

Vale Referrals

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