Why a referral is planned
A referral is planned when a procedure cannot be performed at the clinic, or when the patient clearly benefits from a better-equipped centre. The decision is made with the owner once the diagnosis is established, with alternatives and expected benefit explained.
Procedures that can be performed safely in-house are not passed on unnecessarily, and interventions that cannot be carried out safely in clinic conditions are never delayed.
- Need for CT, MRI or advanced orthopaedic intervention
- Cases requiring an oncology protocol or radiotherapy
- Critical patients needing 24-hour supervision and intensive care
- Procedures the veterinarian does not consider safe in clinic conditions
Preparation before referral
The patient is stabilised first: fluid support, pain control, oxygen requirement and emergency drugs are addressed. A referral letter is then prepared containing the history, physical findings, treatments given, laboratory and imaging results.
The owner receives the destination address, contact details and expected timeline. Written guidance covers transport conditions such as carrier, restraint and temperature control.
Consultation and second opinion
Owners seeking another clinician’s view have their previous test results reviewed together. The process is used to confirm whether to continue the current treatment or to plan an alternative.
- Previous prescriptions, laboratory results and imaging are reviewed
- Owner consent is obtained before inter-clinic consultation
- Shared information is used for medical purposes only
- Records are stored in line with Turkish data protection rules
| Situation | Reason for referral | Documents prepared |
|---|---|---|
| Advanced imaging needed | Requires CT / MRI equipment | Referral letter, radiographs, blood results |
| Fracture and orthopaedic surgery | Implants and specialist equipment | Radiographs, stabilisation note |
| Oncology protocol | Chemotherapy / radiotherapy infrastructure | Pathology report, staging tests |
| Critical patient | 24-hour supervision | Fluid and drug administration record |
Clinical Pathway
- The patient is assessed and stabilised.
- The referral letter, test copies and images are prepared.
- The receiving centre is briefed by phone and the appointment confirmed.
- The owner receives arrival details and transport advice in writing.
- Results are returned to the clinic and the follow-up plan is updated.
Frequently Asked Questions
Do I pay extra for a referral?
An itemised estimate covers the work done at the clinic. Fees at the receiving centre belong to that institution; the clinic charges no referral commission.
Do I take the patient to the referral centre myself?
It depends on the case. For critical patients a clinic team member may accompany the patient; stable patients are transported by the owner, with a call on arrival.
Who follows up after referral?
The receiving centre manages the treatment, while preventive care and routine follow-up continue at the clinic. Results are sent back to the clinic.
The information on this page is for general guidance and does not replace a physical examination.