UK: 028 9621 1981 | ROI: 015 134 256
appointment@friendsmedicalservice.com
Home
About Us
About Us
Accreditations
Blogs
GP Service
Book GP Appointment
Medical Reports
Health Checks and Blood Testing
Heart Health and ECG Check
Cross-Border (Ireland) Patients
Radiology/Scans
DEXA
Ultrasound & Ultrasound Guided Injections
Surgical Procedures
Surgical Procedures
Vasectomy
Other Services
Teleradiology
Audiology
Bone Health & Osteoporosis
Consultants
Testimonials
Contact Us
Pick An Appointment Type
Book an appointment | (DEXA Patient)
Book an appointment | (Surgical Patient)
Select Page
Practitioners Referral
Refer Scan
We aim to get back to all enquiries within 24 hours.
Practitioners Referral
Practitioner First Name
*
Practitioner Last Name
*
Practitioner Email
*
Practitioner registration No.
*
Additional Information
Patient First Name
*
Patient Last Name
*
H&C No.
Date of Birth
*
Contact Number
*
Email
Clinical Information
Treatment Requested
Referral Guidelines
*
I have read the referral guidelines
Click to download Ultrasound referral guidelines.
Click to download DEXA referral guidelines.
Captcha
If you are human, leave this field blank.
Submit
Call Now!
We use cookies to ensure that we give you the best experience on our website. If you continue to use this site we will assume that you are happy with it.
Ok
Privacy policy