GPs and AHPs can refer patients to any of the Consultants at New Victoria Hospital. These can be specific, generic or named referrals.

Referrals can be made by any of the following methods:

• Telephone: 020 8949 9020. Please follow up with a letter within 24 hours.
• Fax: 020 8949 9098
• Email: [email protected]
• Letter: Outpatient Department, New Victoria Hospital, 184 Coombe Lane West, Kingston upon Thames, KT2 7EG

Imaging Department:

Imaging Request Form (online)

Imaging Request Form (print)

Mammography Request Form (online)

Mammography Request Form (print)

Breast Clinic Referral Proforma (online)

Breast Clinic Referral Proforma (print)

Cardiac Investigations Request Form (online) 

Cardiac Investigations Request Form (print) 

Pathway for CT Calcium Scoring & CT Coronary Angiogram (online)  

Pathway for CT Calcium Scoring & CT Coronary Angiogram (print)  

Physiotherapy Department:

Physio Treatment Request Form (online)

Physio Treatment Request Form (print)

Pathology Department:

Pathology Request Form (online)

Microbiology Request Form (online)

Admission Department:

Patient Admission Request Form (online)

Patient Admission Request Form (print)