Please download our request form here. Please print this off, fill, sign and fax or post it to us.

NPR Request form

Please note that you can also use the NGH request form. If so, please mark PP for private referrals.

If required, we would be happy to send you printed request forms as well. Please let us know if you want these.


Contact numbers

CT / MRI Fax  - 01604 635821

MRI enquiries - Tel. - 01604 544735

CT  enquiries - Tel. - 01604 545637

Ultrasound enquiries - Tel. - 01604 523535

General radiology appointments - 01604 231568 or 01604 545636