MRI Scan Referral Form
Referral Process
To ensure it is appropriate for a patient to undergo an MRI scan, a completed MRI referral form is required from a referring clinician, such as a Consultant, GP, Physiotherapist, Osteopath, or Chiropractor.
Completed referral forms must be submitted to Vista (by post, fax, email or electronically) prior to the patient's private MRI scan appointment.
If a patient is not currently under the care of a referring clinician, please advise Vista at time of booking and we may be able to help you find a suitable clinician.
