Pre-authorisation request for treatment

Please complete the pre-authorisation form below for veterinary treatment over £500

Please attach a full clinical history and a detailed estimate of the treatment to be provided

About the Policyholder

About the pet

Please attach a full clinical history along with any other supporting documents. If you are uploading multiple documents, please select all files to be uploaded at once.
Please attach an estimate for the treatment required If you are uploading multiple documents, please select all files to be uploaded at once.

About your practice