Ultrasound Scan Referral Form

Referral Process

To ensure it is appropriate for a patient to undergo an Ultrasound scan, a completed Ultrasound referral form or letter 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 Ultrasound scan appointment can be confirmed.

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.

 >>Download a printer friendly ultrasound referral form

Referral e-mail address: help@vistadiagnostics.co.uk

Referral fax number:      0845 450 2171