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Referrals for imaging will usually be made by your General Practitioner, Consultant or a Specialist in one of the allied professions eg physiotherapy.

For an increasing number of imaging tests, we will accept self referral.  Subsequently, we can expedite onward referral to an appropriate specialist (locally or Nationally), depending on the results of your imaging.  For self-referrals, we do recommend that you inform your General Practitioner that you are having the investigation(s).

A referral form can be downloaded here:

Click here to download an imaging request form [.pdf format]

and faxed to 01483 402748 or e-mailed to with the original sent to:

The Imaging Clinic
BMI Mount Alvernia Hospital
46 Harvey Road
Surrey GU1 3LX