Referrals

Referrals to Guildford Radiology Group can be made by completing our imaging request form, which can be filled in on screen or printed.

Download the imaging request form (PDF)

Your GP, hospital consultant or other registered health practitioner can refer you for an examination by completing the form and sending it to us by email. As the form contains patient information, please send it from a secure email account (for example nhs.net) or encrypt the attachment.

Please note that, apart from our self-referral service described below, a request form can only be accepted if the referral has been made by your GP, hospital clinician, or a health practitioner who is registered to refer patients for diagnostic imaging.

Your doctor is requested to provide their GMC number to verify this request. Other health practitioners are requested to provide their professional registration number and a contact number for verification purposes if required.

No referral? Speak to one of our radiologists

If you would like an ultrasound or musculoskeletal MRI scan but do not have a referral, you can arrange a telephone consultation with one of our consultant radiologists (£75). They will discuss your symptoms with you and, if a scan is appropriate, complete the request form on your behalf. Find out more about self-referral.

Not sure which test to request?

Referring clinicians are welcome to call us on 07591 798735 to discuss the most appropriate examination with a consultant radiologist.