Kingsbridge Private Hospital

UK 028 7776 3090

ROI 048 7776 3090

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We are currently experiencing a high volume of calls. Please select one of the options below

Book Appointment Submit A Booking Request For Consultation or Treatment

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Patient Question (Results, Patient Letters. Treatment Pricing, Patient & Visitor Car Parking)

Refer a Patient

Treadmill Referral

X-Ray Referral Form

BP Referral Form

Echo Referral Form

ECG Referral Form

Ultrasound Referral

Please fill in the form below to refer your patient for treatments other than those above.

Referring Clinician Details

Doctor Name * Practice Address * Contact Number * Email *

Patient Details

Patient Name * Patient Address * Date of Birth *

Contact Number * Patient Email *

Referral Details

Specialiality * Consultant * Reason for referral * Funding *

Insured

Self-funding

Funding referral *

If the named consultant is unable to see your patient within our target of 7 working days, would you be happy for us to refer to another appropriate consultant?

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We deal with all consultants and all specialties – we aim to place your patient with an appropriate specialist within 7 working days. Thank you for your referral.

Help & Support

Kingsbridge Help & Support

For enquires on post operative support, cancellations, test results and payment

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