Thank you for choosing Southpaws Specialty Surgery for Animals. This form can be completed by referring veterinarians or clients. Please complete this form and press the SUBMIT button at the end of the form to send it through.

Surgery consultations at Southpaws are free of charge. Clients or referring vets may make an appointment by calling (03) 9553 1775 anytime day or night. Our hospital is located at 3 Roper Street, Moorabbin, 3189 and is staffed by vets and nurses 24 / 7 / 365. We are also open at our Camberwell Consulting Suites at Shop 4, 555 Riversdale Rd, Camberwell for free referred surgical consultations by appointment. You can reach us by email on and all these details are on our website

At the end of this form - please press SUBMIT - and the referral form will be sent automatically to us. Please forward the patient's history to us by email to

Tip - clients can save time by completing our Admissions form on-line and printing it out.

* 1. Details of Referring Vet

* 2. Please enter the client's name and how to contact them:

* 3. Please tell us about the patient:

* 4. Please enter the Client's address

* 5. Is the patient a .....?

* 6. What is the sex of the patient ?

* 7. Please summarise the reason for referral

* 8. Please list any Clinical Findings / Diagnosis / Tests Already Conducted