Order Referral Pads - Yorkshire Radiology

Complete the short order form and we will mail your referral pads out to your practice address.

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Salutation

First Name *

Last Name *

Job Description *

i.e. GP, general surgeon, sports physiotherapist

Email Address *

Licensing Body *

Membership Number *

Practice Address *

City / Town *

Postcode *

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Rules of the referral pad

All healthcare professionals are welcome to refer patients to us. You must be registered with your profession’s governing body with a right to practice.

We currently support the following organisations, but please contact us if your situation differs but you are interested in referring patients for radiology with us.

General Medical Council (GMC)
General Dental Council (GDC)
Chartered Society of Physiotherapists
General Chiropractic Council
General Osteopathic Council
Health and Care Professions Council (HPC)

Got a patient to refer right now? Why not use our secure online referral form