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GP Referral Form

Complete the form below and we'll get in touch to confirm your GP referral.

Appointments are typically confirmed within 16 working hours. If you need your patient to be seen more urgently, call us directly on
+44 (0)333 222 4034.

Our Customer Services Centre normal operating hours are Mon-Fri: 9am-5pm.

For medical emergencies please call 999.

Choose your Heart Clinic:
Choose your Consultation Option
Choose your investigation (if known)
Upload File
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