If you would like to book a diagnostic test with us, you can fill the referral form below. Please be sure to fill out your contact details correctly, as we will get in touch with you to confirm your appointment by phone or email, or to ask for any further information if necessary.

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You can add any clinical details that you feel might be helpful for us to know (such as any medical history, family history or any allergies or medical needs).

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If you have any questions about the form, or you need more information about any of the tests, you can contact us and we will be happy to answer any queries you may have.

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Please note - this form is only for self referrals. The clinician diagnostic referral form can be found here