Veterinary Consent / Referral Form

All treatments are carried out in accordance with the Veterinary Surgeon’s Act 1966. In accordance with the act we require veterinary consent.

There are two ways you can complete this form. There is the online form (below), or there is a PDF form that you can print out and send to us (click here for the PDF form).



















    Pamela Marsh – Chartered Veterinary Physiotherapist

    Canine Physio-Hydro Centre

    Terms and Conditions

    1.         No animal will be treated without the prior authorisation of their Veterinary Surgeon

    2.         Whilst every care is taken of each dog during treatment, it is done so entirely at the owner’s risk

    3.         A current vaccination certificate or equivalent is required for every dog receiving treatment

    4.         All treatments are to be paid for at the time of the session.  (Debit / credit cards are not accepted).  Receipts will be issued on request

    5.         Please ensure that your dog arrives as clean as possible for their session

    6.         In the event of a cancellation 24 hrs notice is required otherwise the full charge will be made

    7.         Any animal with a suspected infectious or contagious condition such as those affecting the skin, ears or eyes or with a chronic cough will not be treated without the specific written authorisation of the referring Veterinary Surgeon

    8.         Dogs must be kept under control and on a lead at all times whilst on the premises

    9.         Owners are requested not to feed their dog within 3 hours of the therapy session appointment time

    10.       Dog ‘toileting’ is not permitted on the premises.  However, there are adequate public dog areas close nearby with the appropriate disposal bins – please inquire for further details

    11.       A surcharge of £40.00 will be charged in the event of a dog defaecating in the pool.  This is to cover the cost of shutting the facility down and cleaning

    12.       On arrival, please remain in the car with your dog.  You will be advised when the facility is ready for your session

    13.       Pamela Marsh will ensure that adequate public liability and professional indemnity insurance is kept up to date at all times

    14.       No responsibility will be accepted for any loss or damage to vehicles or personal property, however occasioned, whilst on the premises