Referral Portal Please use this form to submit a referral request to South Shore Equine Clinic. This service is for veterinarians only – clients seeking medical information should contact their regular veterinarian for assistance. If you would like to make a referral you can use this form to submit the client and patient information. Please indicate on the form if you have told the client to call SSEC, or if you would like us to call them. Please provide a summary of the history of the case so that we can be prepared to provide the patient with the appropriate care. Please upload any supporting information. If this is an EMERGENCY REFERRAL (i.e. needs to be seen within 24hrs), please call our office immediately after submitting the information below.Veterinarian Contact InformationName* Practice Name Telephone Number*Email Owner InformationName First Last Telephone Number*Email Patient InformationName* Breed Age Color Sex Reason For Referral & Clinical History*include duration of illness and signsAdditional InformationI have asked client to call SSEC to schedule an appointment Please call client to schedule an appointment File UploadMax. file size: 256 MB.