Referring a patient

A simple, two-step process

Referring a patient is easy. Choose a centre and send us a referral letter or complete the downloadable referral form.

The referral letter must include the following details:

• Patient demographic details (name, address, date of birth)
• Patient contact telephone number - so that we can ring the patient with the next available appointment
• The contact telephone number and fax number for your clinic/surgery
• Type of scan required (e.g. MRI, CT)
• Relevant clinical history of the patient and clinical indication for the scan
• Your signature

Referral downloads

Alliance Medical referral form

Download our easy to complete referral form

Referral guidelines for imaging

Download this useful set of guidelines prepared to help referring clinicians make the best use of a department of clinical radiology. Originally produced in conjunction with the UK Royal College of Radiologists and adapted by experts representing European radiology and nuclear medicine

MRI safety questionnaire

Download a questionnaire to be completed by your patient prior to having an MRI scan

CT contrast questionnaire

Download a questionnaire to be completed by your patient prior to having a CT scan

When the procedure is booked

We will send your patient if time permits before the appointment:

• A confirmation letter.
• A guide explaining the procedure in full and the best way to prepare.
• Details of the centre’s location.
• A questionnaire – if relevant – designed to confirm that the procedure is appropriate for your patient.

After the procedure – receiving your report

We will provide you with an accurate and comprehensive report, prepared by our Radiologists who are all established experts in their field. We will send the report to you as soon as possible after the scan has been completed. The images will be available on hard copy film, computer disk or on our own picture archiving and communications system (PACS).

Turnaround times will take your needs into account; we will report urgent conditions to you immediately. If you need to discuss a particular case, our Radiologists are very happy to talk to you direct.