Fortius Clinic Enquiry and Booking Form

Fill in the form to submit your booking request or enquiry

If you would like to book a consultation, discuss your symptoms, or arrange imaging, our patient services team can help guide you to the right specialist.

Booking a consultation with a Fortius specialist
Arranging diagnostic imaging
Answering questions about your appointment
Advising on the most appropriate clinic location

Call 0203 195 2442

Online enquiry form

Complete the form below and a member of our team will be in touch to help with your enquiry.

Title*

Date of birth*

First Name*

Last Name*

Phone*

Email*

I am enquiring on behalf of someone else*

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Message or reason for visit*

How will you be paying for your treatment/services*

I am paying for myselfI have private medical insuranceI am from overseas (covers all sponsored, Private Medical Insurance and paying for myself enquiries)I am contacting on behalf of Professional organisationI am not sure

Let us know which specialism you'd like to book

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Preferred Consultant (optional, for imaging requests leave blank)

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Some of the practising consultants have a financial interest in
Fortius Clinic but this will not influence clinical decisions affecting your care.
Fortius Clinic is the trading name of Fortius London Limited.
Registered in England and Wales under company number: 07033880,
registered address 17 Fitzhardinge Street, London, W1H 6EQ.

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