Patient referrals

If you are a healthcare professional who wants to refer a patient to one of our consultants or outpatient services, including MRI, X-ray and Ultrasound, please use our online referral form below, or speak to our appointments team on 0203 195 2442 who will be happy to help.

We accept both named and unnamed consultant referrals, if you would rather not specify a consultant our team will advise patients on the best specialist for their condition.

Online Referral Form

Please provide as much detail as possible, and complete all necessary fields in order to facilitate an effective referral. All data provided will be strictly used only for the purposes of the referral and will not be stored by Fortius Clinic.

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Stage one - Please fill out the details below.

Continue to payment

Stage two - Please confirm that the information below is correct and insert your payment details.

Patient ID:
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Invoice number:
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Patient Email address:
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Patient Mobile number:
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Amount payable:
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Using our dedicated payment page is a safe and quick way to settle your invoice and will not save your card details on our system. Please contact the Fortius Billing Team on if you have any queries.

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Thank you for your payment. We will allocate the payment against your invoice within the next day. If you need a receipt, or have any queries, please don’t hesitate to contact us via email at