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Diagnostic Imaging Referrals and Admissions

This page contains referral and consent forms for Diagnostic Imaging examination of your horse at Scone Equine Hospital.

Please download the PDF form, complete and email to consents@sconeequine.com.au
or fax to Scone Equine Hospital Radiology +61 2 6544 3237

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

Scone Equine Hospital Radiology
T +61 2 6544 3221
F +61 2 6544 3237

Please Note
No procedure will proceed without a signed consent form received by email, 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 Scone Equine Hospital or to authorise Scone Equine Hospital Intensive Care Unit to administer 24hr Intensive Veterinary Treatment, Nursing Care and all diagnostic tests associated in the care of your animal. (65 KB)

Image Distribution Consent Form Image Distribution Consent Form
This form authorises Scone Equine Hospital to distribute diagnostic imaging electronically for equine veterinary purpose. (51 KB)

Diagnostic Imaging Referral Diagnostic Imaging Referral
Referrals to Scone Equine Hospital for diagnostic imaging will need to complete this form. (54 KB)