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Home

About Us

Meet The Team

Horse Owners

Veterinary Referrals

Laboratory

All Tests List
Request Laboratory Supplies

Reproduction

Careers

Contact Us

Client Registration
Online Referral
Register for Smartworming
Your Appointment

Online Referral Form

Complete the form below to refer a case to us. Please note that this form is for referring vet practices only.

Rainbow Equine Referrals Form

Referring Veterinary Surgeon(Required)

Practice

Practice Phone Number

Mobile Number

Email Address

Horse

Owner/Agent

Owner/Agent Phone

Owner/Agent Email

Age of Horse

Breed of Horse

Sex of Horse

Reason for Referral?

Pertinent History

Drugs and doses administered prior to referral

Known allergies/adverse reactions

Insured?

Insurance Company

Have you discussed likely costs of treatment?

What have you estimated?

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Equine Factsheets

© Rainbow Equine Hospital Limited

Registered Address : Spitfire House, Aviator Ct, York YO30 4UZ

Registered in England

Company No : 08825966