HOUSE OF HOUND — REFERRAL INFORMATION OUTLINE
Sample discussion checklist for veterinary professionals
Website concept 03 · Not an approved referral or consent form

This outline identifies information that may be useful when preparing a referral. The centre's clinical requirements, consent wording and secure submission route must be confirmed before use with a real patient.

REFERRAL CONTEXT
Reason for referral / clinical question:
Relevant diagnosis or differential considerations:
Relevant history and investigation findings:
Current management:
Restrictions and precautions:
Relevant handling or behavioural information:
Owner priorities and practical context:

DOCUMENTS TO CONSIDER
[ ] Relevant clinical history
[ ] Investigation reports, where appropriate
[ ] Current instructions and precautions
[ ] Required permissions and authority to share

COLLABORATIVE CARE QUESTIONS
Who is responsible for ongoing veterinary management?
What information would be useful in an update?
What is the verified contact and record-sharing route?

Do not send records through the preview website. This document does not authorise care, establish consent or confirm acceptance of a referral.