Refer a patient

GPs, physiotherapists, dentists, optometrists and other healthcare professionals can refer their patients to specific services at The London Clinic using our referral forms.

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It's simple to refer a patient to The London Clinic.

Chose the right referral form for your needs, complete the fields and we will confirm the details back to you and liaise directly with your patient.

Referral forms

This form is for General Practitioners to make a referral to The London Clinic. Choose from a consultant appointment, a blood test or diagnostic imaging. 

GP referral form

If you wish to make a referral to our Dietetics team you can call us on 02076167643 or complete our online form below.

Make a Dietetics referral

If you wish to make a referral to our Physiotherapy team you can call us on 02076167651 or complete our online form below.

Make a Physio referral

If you wish to make a referral to our Radiotherapy team you can fill out the below form and email it to them at radiotherapybookings@thelondonclinic.co.uk

If you have any questions for the team, you can call them on call them on +44 (0)20 7616 7759

Make a Radiotherapy referral

Contact us

If you would like more information or to speak to our Primary Care Liaison team, make an enquiry today.