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Diagnostic Imaging Referrals and Admissions

This page contains consent forms and requirements for examination and treatment of your horse at Avenel Equine Hospital.

Please download the PDF form, complete and fax to Avenel Equine Hospital Reception
T +61 3 5796 2477

A staff member will contact you once the form is received.

Avenel Equine Hospital Reception
T +61 3 5796 2468
F +61 3 5796 2477

Please Note
No Surgical procedure will proceed without a signed consent form received by fax, post or in person.

Equine Procedure / Intensive Care Consent and Referral Equine Procedure / Intensive Care Consent and Referral
This form is for giving consent for your horse to have a procedure undertaken by Avenel Equine Hospital or to authorise Avenel Equine Hospital Intensive Care Unit to administer 24hr Intensive Veterinary Treatment, Nursing Care and all diagnostic tests associated in the care of your animal. (166 KB)
Diagnostic Imaging Referral Form Diagnostic Imaging Referral Form
Referrals to Avenel Equine Hospital for diagnostic imaging will need to complete this form. (62 KB)
Image Distribution Form Image Distribution Form
Referrals to Avenel Equine Hospital for diagnostic imaging will need to complete this form. (51 KB)