Referral submission form
Please fill in this form if you are a veterinarian wishing to refer a client for advice, or assessment.
You and the client will receive a report via email after the event, including medical or surgical directions if required.
Fees chargeable to the client: £25 per 15 minutes including consultation, visiting time (plus visit charge), tele-consultations, diagnostic investigations, prescriptions, treatments & reporting.
I am to make contact within 24 hours.

Veterinarian details


Client details




For vets - referrals

Contact email address:

  • Facebook
  • Instagram
  • LinkedIn Social Icon

©2019 by Henrietta Kodilinye-Sims. Proudly created with

Surrey Poultry Vet is a registered veterinary practice (RCVS), under the registered company Butler Physiotherapy Ltd, 11893457