Test Enquiry Form 2026 What can we help with? * Please selectBooking an appointmentBooking a scanBooking a blood testInformation about treatment/serviceSomething else Do you have a referral for your test or scan? * YesNo Please note, a referral is required from a Consultant or GP before we can book your scan or test. If you do not have a referral, our team can book you in for an initial consultation with a relevant specialist who will refer as appropriate. How are you funding your treatment? * Please selectPaying for yourself (self-funding)Private health insuranceNHSOther Unfortunately our team is unable to help with NHS enquiries. If you are enquiring about NHS care, please visit https://www.royalfree.nhs.uk/contact-us. Your name * Your email * Phone number * Hospital * Please selectRoyal Free HospitalHadley Wood Hospital Please note, some consultants and services are only available at specific hospitals. If the hospital you select doesn't offer the service you require, we will recommend an alternative hospital. Specialty (if known/relevant) Please selectBreast surgeryCardiologyColorectal surgeryCosmetic surgeryDermatologyEndocrinologyGastroenterologyGeneral medicineGeriatric (elderly) medicineGynaecologyHaematologyHead and neck surgeryHepatologyHPB surgeryNephrology (renal medicine)NeurologyNuclear medicineOncology (cancer medicine)OphthalmologyOral and MaxillofacialOrthopaedics – foot and ankleOrthopaedics – hand and wristOrthopaedics – hip and kneeOrthopaedics – shoulder and elbowOrthopaedics – spinePaediatricsPain managementPlastic surgeryRespiratory (chest) medicineRheumatologySexual Health (genitourinary)UrologyVascular surgeryOther/not listed/unknown How can we help? How did you hear about us? * Please selectRoyal Free London NHS websiteNHS hospitalGoogle adsGP recommendation/referralFamily or friend recommendationConsultant recommendation/referralPress article/newspaper adPrivate health insuranceSearch EngineSocial mediaOther/not listed/unknown By using this form, you consent with the storage and handling of your data by our team. We may contact you by email, SMS or phone about your enquiry. If we try to contact you by phone (mobile and/or landline) and you are not available, we may leave you a voicemail message. To learn about how we collect sensitive information on this website and how we use your information, please view our privacy policy. Δ
