This form is for veterinarians who are referring a patient for Overnight or Weekend care.

If you would prefer a hardcopy please download, print and email a copy of the form at the bottom of this page to: reception@hbah.co.nz

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Thank you for your response. ✨

Is patient insured?

Is the owner happy to be contacted by HBAH staff?

Clinical notes/diagnostics

If treatment plan requires modification call transferring vet?

Fluids Provided?

Medications Provided?

Drug Name Dose GivenVolumeFrequency Time Last Given
Overnight Hospital Care?

Critical Care Status

Discharge

Discharge plan has been discussed with owner

Cost has been discussed with owner

Transfer Form – Overnight or WeekendDownload