Order a test

GPs and other referring healthcare professionals are able to use the forms on this page to order specific services from The London Clinic. Pathology tests are also available.

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Diagnostic forms

The following PDF 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.

Pathology

Imaging

Cardiology and respiratory

Digestive

Treatment forms

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.

Radiotherapy

Oncology and haemotology

Download printable form

Complete electronic form

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