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How To Refer

New Victoria Hospital welcomes all requests for consultation.

Referring an Outpatient to a Consultant  

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

Referrals can be made by any of the following methods:

  • By telephone on: 020 8949 9020 Please follow up with a letter within 24 hours.
  • By fax on: 020 8949 9098
  • By email to:
  • By letter to: Outpatient Department, New Victoria Hospital, 184 Coombe Lane West, Kingston upon Thames, KT2 7EG

Referring To Outpatients Services

GPs and AHPS can also refer patients directly to any of our other Outpatient Services including: Imaging (Ultrasound/MRI/X-ray), Physiotherapy  and Pathology.

Referrals for these services can be made by contacting:


Referral forms for these services can also be completed online or downloaded here:


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)

Pathology Request Form (print)

Microbiology Request Form (online)

Microbiology Request Form (print)


Inpatient Department:

Patient Admission Request Form (online)

Patient Admission Request Form (print)