Upload Scan Referral

Please use the below form if you have a referral letter or if you are self referring

This form is for all self pay patients. If you have the referral from your clinician then please upload it and we will send it to the chosen imaging centre for appointment. If you are self-referring then we can connect you to a third party private GP or a GP practice that can help you with the referral. Kindly note TOP MRI is unable to provide any medical advice.

Pay for your scan in 3 simple Instalments*

*subject to approval by Klarna