Veterinary CT Request Form

We can accept scan requests from other veterinary practices. Please complete our online CT request form.

Please note this is an outpatient service so the results of the CT scan will be sent back to the referring vet to report to their client.

If you wish to refer us the whole case to continue treatment please call us on t: 0121 4225411

Please fill in fields required *

Referring Practice Details

Client Details

Pet/Animal's Details


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

History (compulsory)

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