Referring cases to CityU VMC

Referring cases includes: Anaesthesia, Cardiology, Dermatology, Internal Medicine, Neurology, Oncology, Surgery, Emergency and Critical Care can be arranged by filling in the online form below. You may also download the form and email or fax the completed form to us.

It will be helpful to attach Patient History and give as accurate as indication in determining the urgency of the problem, so that we can schedule the appointment with the client as quickly as needed.

Fax: 2715 3490

Email: referrals@cityuvmc.com.hk

Download Form
This form is also available as a fillable PDF
rDVM Information
Preferred correspondence EmailFax
Owner Information
Mr.Mrs.Ms.
Client No.
Patient Information
Species CanineFeline
Sex MaleFemale
Neutered YesNo

Referral Service Request
Please choose a service
Others, please specify:
Special Arrangements Necessary

Please submit patient history and digital images (e.g. laboratory reports and radiographs, X-Rays)
File format (PDF / JPG / ZIP), each file must not exceed 2MB.

Fast your pet, no food for 12 hours and no drinks for 3 hours prior to appointment.

Keeping clients and referring vets updated
We will update you with developments of the case as early as possible, in the form of an emailed referral letter, or an updated patient history. Hospitalized patients are continuously monitored, and the client will be updated on patient progress daily if needed.

Download Form
This form is also available as a fillable PDF
RDVM Information
Client Information

Mr.Ms.Mrs.

Patient Information

CanineFeline

Weight Unit lbskg
Neutered YesNo
Sex MaleFemale
Referral Information
Preferred time Not Urgent (next available appointment)Emergency (within 1 day)Urgent (within 2 days)
Heart Murmur

Exercise intoleranceSyncopeEchocardiography / chest radiographs performed - please state pertinent findings

Prefer receive report by EmailFax

Please submit patient history and digital images (e.g. laboratory reports and radiographs, X-Rays)
File format (PDF / JPG / ZIP), each file must not exceed 2MB.

Remarks:

  1. PRICES for ECG analysis (additional charges could occur for the owner/client at the referring veterinarian for recording of the ECG, material used, and discussion of the results):
    NORMAL SERVICE: Report within 5 working days after checking payment is successful
    EXPRESS SERVICE:  Report within 2 working days after checking payment is successful
    Working days do not include Sat, Sun, PH.
  1. Please send us (a) This form (b) ECG and (c) Credit card payment form or bank in slip to info@cityuvmc.com.hk.
    For direct bank transfer: Hang Seng Bank, Account No: 395-499379-883, Account Name: CityU Veterinary Health Group Co Ltd
  1. Please also see CityU VMC ECG Guidelines to provide optimal quality for interpretation.