Referral Form

Referrals to the Kent and Sussex Radiology Group can be made by downloading and completing the referral form below. Once completed the form can be emailed to or faxed to 01892 634468.

All requests for studies involving ionising radiation must be completed by an appropriate Healthcare Professional. If you have any queries regarding this form please contact Private Secretary on 07535 915614

Once received the patient will be contacted to arrange an appointment time and hospital location.

pdf PDF Request Form

Microsoft Word document Word Request Form

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