Direct GP Referrals Thank you for referring your patient for a ultrasound scan, Please complete the following form, once the form is submitted please ask your patient to call us on 01424 230297 Please enable JavaScript in your browser to complete this form.Referring GP - Name & Surgery *Referring GP Email Address *Patient's Name *FirstLastPatient's DOB * there & DOB Patient's Phone Number *Area To Be Examined *--- Select Choice ---Upper AbdomenPelvis / GynaecologyRenal TractTestesOther (Please note in reason for referral below)Reason For Referral *Can you confirm the patient is aware there is a charge for this scan? *YesSubmit Get In Touch Call Us 01424 230297 Text Us 07896 774924 Email Us info@discoveryultrasound.co.uk Address: 6 Market Square, Battle, TN33 0EX Facebook
