The following forms can be easily downloaded to order a range of diagnostic tests at
The London Clinic.
Please return completed forms to the relevant fax number on the form.
The forms may only be used by medical professionals and checks will be made on any requests from doctors not already known to The London Clinic.
Please note that this is an interim ordering facility while an automated system is being developed.
Pathology Form
Gastrointestinal
Endoscopy Form
Vascular Ultrasound Form
Lung function form
Cardiology form
Mammography/ breast ultrasound form
Radiology Form
Radiotherapy paper
referral form
Radiotherapy elctronic
