Initial Consultation. Hospitalisation. Intra-Op IV Fluids. Pre-Op Bloods. Pre-Op. Pre-Op X-rays/Scan. Hip Luxation Prices from 1300.

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1 Roundhouse Referrals Price List Orthopaedic Procedures - Autumn 2017 INDIVIDUALLY PRICED PACAKGES INTEREST FREE FINANCE AVAILABLE - 0% APR Representative Procedure Package Cost (incl VAT) Initial Consultation Pre-Op Bloods Pre-Op Pre-Op X-rays/Scan Intra-Op IV Fluids GA/Sedation Surgery/Procedure Post-Op Post-Op Pain Relief Follow Up Consultation Hip Surgery Fracture Repair Follow Up X-rays (6 weeks) Elbow Dysplasia Management Interest Free Payment Options* Hip Luxation Prices from available Fracture Repair (simple) Fracture Repair (Complex) Arthroscopy (single joint) Prices from available Prices from available Prices From N/A available (additional joint) Supplement Arthrodesis Pancarpal Arthrodesis Partial/Pantarsal Arthrodesis Prices From available Prices From available

2 Roundhouse Referrals Price List Soft Tissue Procedures - Autumn 2017 INDIVIDUALLY PRICED PACAKGES INTEREST FREE FINANCE AVAILABLE - 0% APR Representative Procedure Package Cost (incl VAT) Initial Consultation Pre-Op Bloods Pre-Op Pre-Op X-rays or Ultrasound Scan Intra-Op IV Fluids GA/Sedation Surgery/Procedure Post-Op Post-Op Pain Relief Maxillofacial and Laryngeal surgery Follow Up Consultation Follow Up X-rays (6 weeks) Abdominal Surgery Interest Free Payment Options* Laryngeal Tie-Back Prices From N/A available Mandibulectomy/ Maxillectomy Prices From N/A available Salivary Mucocele Prices From N/A available Various GIT Surgeries Perineal Hernia (2 sides, incl castration) Perineal Urethrostomy Colposuspension (for urinary incontinence) Prices From ** N/A available Prices From ** N/A available Prices From N/A available Prices From N/A available Wound Management (post-trauma or mass removal) Wound resection and primary closure Axial pattern flaps, skin grafts, etc Prices From N/A available Prices From N/A available

3 This price list outlines the prices for commonly encountered surgical procedures. It is not exhaustive however: if you have a patient that requires a surgery not on this list please do not hesitate to contact us to discuss the case. General notes: - Practice Partnership Partnership Pledge: Roundhouse Referrals will work with you to provide an easier referral system that will always hand your client back to you happy and satisfied. Communication: In order that we can provide you with the best options for your clients and to ensure the best possible outcome, referring practices will be required to provide up-front client and patient information. Roundhouse Referrals will work in partnership with Referring practices, providing clear and concise post-operative plans that optimise patient care and recovery. Flexible: Roundhouse Referrals offers a personal service, we will adapt our service to meet the clinical needs of a given scenario Feedback: At Roundhouse Referrals, we welcome feedback on how we can partner and support you to deliver great care to your patients. Any feedback can be ed directly to Ross Allan: ross@rhr.vet Fixed Price Fix - Background Price Certainty: At Roundhouse Referrals, we wanted to make things easier for referring vets and their clients, spiralling veterinary costs create a significant problem for many clients towards that end we have created a list of common advanced procedures and have standardised their price. Our intention is to add to this list over time. Fixed Price Guarantee: Included in our Fixed Price Procedure Fees is our Fixed Price Guarantee. We are so confident of a successful outcomes that we will not charge for surgical revision required as a result of any issues within our control: we will Fix your patient s issue for the Fee agreed. Fixed Price Fix (FPF) Packages Concurrent conditions: All FPF Packages include the surgery required to treat a single, commonly diagnosed clinical condition. Should the clinical condition be more complex (e.g. cruciate disease and concurrent medial patella luxation), or should the patient have medical co-morbities (e.g. diabetes, heart disease, hypothyroidism, etc) a supplemental charge may be applied.

4 Further notes on specific FPF procedures are detailed below: - ROUNDHOUSE REFERALS PRICELIST AND REFERRING PRACTICE INFORMATION, AUTUMN 2017 Patella Luxation This FPF package price is for surgery of dogs <25kgs, it excludes those with grade 4 (fixed patella) and excludes those with femoral or tibial rotation requiring corrective osteotomy. Cruciate This FPF package price includes TTA and Extracapsular Suture procedures. Clients will be advised of the advantages and disadvantages for each procedure, and on occasion it may be necessary to review this advice following assessment of pre-operative radiographs. Femoral Head and Neck Excision (FHNE) FHNE is performed for removal of pain and discomfort due to either fracture of the femoral head and neck or dislocation of the hip. Clients expectations of a successful outcome will be set in advance, a successful outcome will be deemed to be achieved by ensuring a reduction in pain and functional, if not entirely normal use of the affected limb. Brachycephalic Airway Surgery (BOAS) The FPF package price includes X-ray assessment of the tracheal lumen diameter-to-thoracic inlet ratio. The surgery covered within the FPF BOAS package is a combination of nasoplasty, staphylectomy and removal of everted laryngeal saccules where such techniques are deemed appropriate to the individual patient s needs. Additional concurrent conditions could be encountered in these patients, such as: laryngeal collapse, tracheal collapse, or aberrant turbinates. The FPF package price will not include the surgical or medical management of additional conditions. Clients expectations of a successful outcome will be set prior to surgical admission. Clinical success will be deemed to be a functional improvement associated with the aforementioned structures not necessarily a resolution of respiratory noise or nature. Total Ear Canal Ablation Bulla Osteotomy (TECA-BO) The TECA-BO FPF package price includes pre-surgical assessment with X-ray where this is deemed clinically appropriate. Assessment using CT imaging may be essential for a proportion of patients and owners will be advised of this at the time of consultation. Should this occur, CT imaging can be arranged for a supplemental fee. If clients decline CT imaging when it has been advised, then the FPF package price will not apply.

5 Perineal Hernia The Perineal Hernia FPF package price allows for abdominal imaging, using X-ray or ultrasound as deemed necessary, and surgical management of the stable patient. In dogs presenting with concurrent disease: such as displacement of the bladder or entrapment of intestine within the hernia, then supplemental charges may be applied. Similarly, supplemental charges may be applied if surgical mesh is required for hernia closure, or if additional abdominal techniques such as colopexy are required. Laparoscopic Ovariectomy This FPF price is for ovariectomy performed as a sterilisation procedure in dogs over 10kgs. Whilst we are experienced in this technique, clients will be advised that conversion to open ovariectomy, or ovariohysterectomy may be required in a small proportion of cases and consent for this will be required at the time of hospital admission. Payment Terms: Our services are designed to be more convenient for Referring Vet and Clients for that reason we are offering a number of payment options and price certainty wherever possible. Clients will be required to pay the expected bill in full in advance of the planned procedure, with the following exceptions; - Pay Vet Direct Insurance Claims: We have the facility to offer Direct Claim Insurance subject to an Application Process. Clients must present all required insurance and banking documents at least 3 days in advance of the planned procedure. Clients will be required to sign a disclaimer. We have the right to refuse or revoke Pay Vet Direct Insurance Claim Applications at the discretion of the Partnership. Please note we do not charge a fee for Insurance Claim processing. *Interest Free Credit: Roundhouse Referrals is able to facilitate Interest Free Credit over the period of 6, 10 or 12 months. We act as a credit broker and only offer credit facilities as provided by Carefree Credit Ltd. Credit is provided subject to an application process, age, status and a credit check and must be agreed with Roundhouse Referrals and Carefree Credit prior to the planned procedure. Terms and Conditions Apply. Representative Example Procedure Price Total Repayable Duration of Agreement 12 months Amount of Credit monthly Payments Rate of Interest 0% pa 0% APR Representative

6 How to Use Roundhouse Referrals ROUNDHOUSE REFERALS PRICELIST AND REFERRING PRACTICE INFORMATION, AUTUMN 2017 Call Or Identify Referral case we are able to offer many services (not just those in our price list!) Call or our referrals line and let us know how we can help. Non-urgent Referrals: Our phones are manned 9am 5.30pm Monday to Friday, out with those hours we will return your call/ the next working day. Urgent referrals: 5.30pm 10pm Monday Friday and 9am 5pm Saturday and Sunday we are able to take urgent referrals via the Roundhouse Vet Hospital s reception (Press 2 when prompted) referral letter together with history and diagnostics to info@rhr.vet Choose the point in clinical work-up/treatment chain at which you wish to refer (eg full work up Vs outpatient services) a brief referral letter with the most important clinical and management points together with full patient history and diagnostics to us. We will set a specific time and designated person and give you a clear response and plan via your preferred means of communication. We will pick up communication with your client giving them a very personal service keeping you up to date every step of the way Receive back a satisfied and happy client We will provide your clients with an individually tailored clinical and aftercare plan designed to offer the greatest possibility of clinical success. Whither it is a Fixed Price service or an individually priced package, your client will have price certainty. We work to an excellent clinical standard with Veterinary Certificate holding vets and supporting Specialists from our RCVS Accredited Veterinary Hospital we have everything in place to provide an excellent outcome. We work in partnership with referring vets and will always return clients to the referring practice, guaranteed.