If you have a referral form from any clinician, please upload below and provide other details.
If you are self referring, please visit the Self Refer Section

Upload Referral Form (Self Pay)
Kindly upload the referral form from your clinician. Please note that we only accept referrals from UK based clinicians and it should not be more than 3 months old.
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The letter needs to be signed by the referring clinician and must have the patient full name, date of birth, clinical indication, type of scan requested and the signature of the referring clinician.

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