Referral Form

For referring veterinarians, please complete the form below to expedite the referral process.

Owner / Pet Information

Example: 77778888

Referrer

Example: 77778888

I have informed the pet owner that I’m referring the case to VSH and I have obtained their consent appropriately to share their personal data with VSH for this purpose.

Details

Preferred Location
(Note:Pending specialist location, not all requests for location may be fulfilled)
Emergency?
Patient need immediate transfer today
Requested Services

Disease Information

Please do not leave this section blank or write "see history". Even a brief case summary helps ensure proper case management and quick response.

Please attach relevant medical records below

including medical history, laboratory results and imaging results.

Maximum 6 files.
20 MB limit.
Allowed types: pdf, doc, png, jpg, jpeg, xlsx.

* If your patient requires immediate transfer, please call us at 2408 2588 after submitting this form.

 

You can find out how Mars and its affiliates (https://www.mars.com/made-by-mars) collects and processes your data, contact us with privacy questions, and exercise your personal data rights via the Mars Privacy Statement (https://www.mars.com/privacy).

 

By submitting this form, I acknowledge that I have informed the pet owner that I am referring the case to VSH and I have obtained their consent appropriately to share their personal data with VSH for this purpose.

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VSH Hong Kong
G/F - 2/F 165-171 Wan Chai Road
Wan Chai, Hong Kong
24082588

VSH Kowloon
G/F - 1/F 7 Liberty Avenue
Ho Man Tin, Kowloon
24082588

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