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Pet Owner Information
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Last Name
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Cat Information
Cat’s Name
Sex
Age
Is your cat currently being treated for hyperthyroidism?
*
No
Methimazole/carbimazole
Iodine restricted diet
Previous thyroidectomy
Previous radioiodine treatment
How can we help?
Referring Vet Information
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Contact Person
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Email Address
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Phone Number
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Practice Address
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Postcode
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Pet Owner Information
Name
*
Email Address
*
Phone
*
Patient Information
Cat’s Name
*
Sex
Age
Is the cat currently being treated for hyperthyroidism?
*
No
Methimazole/carbimazole
Iodine restricted diet
Previous thyroidectomy
Previous radioiodine treatment
Additional Information
Please upload medical history including bloods
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