Veterinary acupuncture and pain management

Samantha Walker BVSc MRCVS

Email: vetacupuncturelincs@gmail.com
Phone: 07427 865367
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REQUEST FOR PAIN CLINIC / ACUPUNCTURE REFERRAL

Client Details






Animal details









For completion by your Veterinary surgeon:

In order to certify your approval for referral and safeguard the well-being of both your clients and their pet, please complete the following form and return it via email tovetacupuncturelincs@gmail.com along with the full medical history, including any relevant laboratory / diagnostic imaging results