Buysure Member Census

Section 1 – Practice Profile

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Practice name (Required.)

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Primary contact (Required.)

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Address (Required.)

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Number of clinic locations (branches) (Required.)

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Is your practice an RCVS Accredited practice? (Required.)

Yes

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Is your practice an Approved Training Practice? (Required.)

Yes

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What is your buying group level? (Required.)

Buysure Platinum

Buysure for Vets

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Who is your primary wholesaler? (Required.)

NVS

Covetrus

MWI

VSSCO

None

Other (please specify)

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What are your primary wholesale account numbers? (Required.)

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Who are your secondary wholesalers? (Required.)

NVS

Covetrus

MWI

VSSCO

None

Other (please specify)

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What are your secondary wholesaler account numbers? (Please supply all numbers applicable)

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Number of Full Time Vet Equivalents (FTVE) (Required.)

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Number of RVNs, including training VNs

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Number of support staff

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Practice type (Required.)

Referral: Specialist hospital that sees patients from first opinion practices for advanced diagnostic procedures, treatments or surgeries.

First opinion: Provides routine healthcare, vaccinations, consultations, treatments and surgeries for common illnesses and injuries.

Emergency and critical care: Provides urgent and intensive treatment for patients with life-threatening illnesses or injuries outside of normal practice hours.

Mid-tier referral: Offers a broader range of advanced diagnostics and specialist led treatment but more limited than a referral hospital.

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OOH Coverage

Own cover

Shared cover with another independent

Corporate cover

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Do you have a diplomate or certificate holder for one of these specialities? (Tick all that apply)

Acupuncture

Anaesthesia

Animal Behaviour

Respiratory

Cardiology

Dentistry

Dermatology

Diagnostic Imaging

Emergency Care

Equine Medicine

Exotic Animals

Homeopathy

Hydrotherapy

Internal Medicine

Intensive Care

Medicine

Neurology

Oncology

Ophthalmology

Orthopaedic

Osteopathy

Physiotherapy

Soft Tissue

Spinal

Other (please specify)

Question Title

Do you offer any of these added value services? (Tick all that apply)
This may assist other local members when looking to refer patients for advanced imaging and services

Hydrotherapy

Physiotherapy

Acupuncture

MRI

Laser

Export and animal health certificates

Other (please specify)

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Do you welcome EMS students?

Yes

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Would any members of your team be willing to mentor other practices?

Yes

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Do you have the facilities to host a CPD meeting?

Yes

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Species Treated (Tick all that apply) (Required.)

Small Animal

Equine

Large Animal

Exotics

Birds

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Please provide the percentage split for your species treated

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Number of total active patients (Required.)

0-999

1,000-1,999

2,000-2,999

3,000-3,999

4,000-4,999

5,000-5,999

10,000-14,999

15,000-19,999

20000-29,999

30000+

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Do you consent to share practice details with other members for networking opportunities and referrals?

Yes

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Preferred Buysure communication channels (Tick all that apply)

In person visits

Phone

SMS

Social Media

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* Practice name (Required.)

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* Primary contact (Required.)

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* Address (Required.)

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* Number of clinic locations (branches) (Required.)

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* Is your practice an RCVS Accredited practice? (Required.)

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* Is your practice an Approved Training Practice? (Required.)

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* What is your buying group level? (Required.)

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* Who is your primary wholesaler? (Required.)

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* What are your primary wholesale account numbers? (Required.)

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* Who are your secondary wholesalers? (Required.)

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* What are your secondary wholesaler account numbers? (Please supply all numbers applicable)

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* Number of Full Time Vet Equivalents (FTVE) (Required.)

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* Number of RVNs, including training VNs

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* Number of support staff

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* Practice type (Required.)

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* OOH Coverage

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* Do you have a diplomate or certificate holder for one of these specialities? (Tick all that apply)

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* Do you offer any of these added value services? (Tick all that apply)This may assist other local members when looking to refer patients for advanced imaging and services

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* Do you welcome EMS students?

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* Would any members of your team be willing to mentor other practices?

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* Do you have the facilities to host a CPD meeting?

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* Species Treated (Tick all that apply) (Required.)

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* Please provide the percentage split for your species treated

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* Number of total active patients (Required.)

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* Do you consent to share practice details with other members for networking opportunities and referrals?

Question Title

* Preferred Buysure communication channels (Tick all that apply)

Practice name (Required.)

Primary contact (Required.)

Address (Required.)

Number of clinic locations (branches) (Required.)

Is your practice an RCVS Accredited practice? (Required.)

Is your practice an Approved Training Practice? (Required.)

What is your buying group level? (Required.)

Who is your primary wholesaler? (Required.)

What are your primary wholesale account numbers? (Required.)

Who are your secondary wholesalers? (Required.)

What are your secondary wholesaler account numbers? (Please supply all numbers applicable)

Number of Full Time Vet Equivalents (FTVE) (Required.)

Number of RVNs, including training VNs

Number of support staff

Practice type (Required.)

OOH Coverage

Do you have a diplomate or certificate holder for one of these specialities? (Tick all that apply)

Do you offer any of these added value services? (Tick all that apply)
This may assist other local members when looking to refer patients for advanced imaging and services

Do you welcome EMS students?

Would any members of your team be willing to mentor other practices?

Do you have the facilities to host a CPD meeting?

Species Treated (Tick all that apply) (Required.)

Please provide the percentage split for your species treated

Number of total active patients (Required.)

Do you consent to share practice details with other members for networking opportunities and referrals?

Preferred Buysure communication channels (Tick all that apply)