Please note: if you are paying on your own account, there is an initial consultation fee, to find out a 'guide price' please call 020 7234 2948. If you wish to go ahead and request an appointment please fill out the remaining sections of this form.
After your GP appointment you will be given a card from your GP to contact the GP Liaison department to book an appointment
On the day of your scheduled appointment you will report to the Outpatients department (Emblem House). Please allow 10 minutes for registration here you will be asked to confirm your personal details
The following information is required to complete the registration form:
Insurance details (including policy no. & pre-authorisation no) if applicable
If you are a self paying patient payment must be made in full on the day of consultation
Name and address of referring GP
Once you have registered you will be given a patient card with your unique hospital number
Please bring any scans, x-rays or reports if they are required for your consultation
Follow Up Appointment
For follow up appointments you must contact the secretary of the consultant that you saw on you initial consultation
Please ensure that you bring your hospital patient card (This is required on each visit to the hospital)
A new pre-authorisation number is required for each appointment from your insurance company (if applicable)
Please bring old x-rays or scans if they are required by the consultant
If you have to call the hospital with a query please quote your hospital number
How To Find Us
For more detailed information on how to find us, please click here.