Referring Doctors

Referral Forms

If you wish to refer a patient to the WELLNET Unit, our doctors will requires some initial information, which may include a medical report and past diagnostic test results and imaging scans. To initiate the referral please complete the below referral form.

Download Radionuclide Referral Form 2015

Once completed please send this form to the unit. Please include a cover letter with your contact details and the referring doctors name. If additional information is required to accept the referral the WELLNET Administrator will contact you after receiving the intitial referral.

Fax: +44 (0)207 483 5598

Letter: The WELLNET Unit, The Wellington Hospital 2nd Floor, South Building, Wellington Place, St John’s Wood, London. NW8 9LE.

Associated Bodies:

  • The Wellington Hospital Logo
  • ENets Logo