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Phone

Email
MJFaal@outlook.com

07951824475

Social Media

Please fill in the details on the online form or alternatively download the form below and forward an up to date clinical history to the email address below. Thank you

Downloadable Form

Referring Vets Names & RCVS Number

Referring Veterinary Practice

Referring Vets Email

Referring Vets Phone Number

Clients Name

Clients Address

Email

Phone

Pets Names

Species/Breed

History/Presenting Condition

Physiotherapy- Manessa Faal ACPAT Cat A MCSP HCPC

Pain Management Dr. K Smithers MRCVS

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Upload File

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Dispensing Medication

Please click here if you would prefer to dispense medication yourself

Has this patient been imported from outside of the UK? *

YES

NO

Your Signature

I consent to the patient named above receiving intervention

Prefered Clinic

Afon Veterinary Group- Neath

Caerphilly Veterinary Clinic- Caerphilly

Canine Rehab Cardiff- Cardiff

Vets 4 Pets- Cross Hands

Bridges Veterinary Surgery - Cardiff

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Gibson & Jones- Swansea

Malthouse Veterinary Clinic- Narbeth

Seren Veterinary Group- Carmarthen

Tawe Veterinary Group - Gorseinon

Vet4Pets -Pontypridd

Maes Glas Veterinary Group - Bridgend

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Refer A Patient

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