Dear Veterinarians & Vet Practice Owners,

This form is to facilitate all referral cases between your referring clinic and our hospital as we hope to work with you and your practice to ensure that your clients and ours are professionally  serviced in a timely manner, as pleasant and stress-free as possible.

This is completed by referring veterinary clinics only.

1Step 1: Download Form & Fill Up
2Step 2: Upload Required Documents

Please click the following icon to download AMC Veterinary Referral Form (PDF 197KB)

Click or drag a file to this area to upload.
Allowed files jpg png pdf doc docx
(*Max file size 2MB)
 Reminder: Please complete every section in the form. Alternatively, you may submit the form via email to: admin@medivet.com.my / amc-hq@animalhospital.com.my

A completely filled-in referral form will ensure and help our vets to process your request without further delay.

Note: INCOMPLETE FORMS WILL NOT BE ENTERTAINED.

Please make an appointment ONE (1) WEEK prior to the consultation. Any emergency case, please contact us at +6013 431 5157 or +603 4042 6742 and speak to our Front Desk Officer for further assistance.