Any medically qualified health professional, or their assistant can complete this form (designed to be completed in under 45 seconds) to request a CT or any combination of our specialist tests/ services available at SCVC/VCL.
Once submitted our team will contact patient within a few hours to confirm the request has been received, offer provisional scan date/time and obtain patient address and other information. Our schedulers will then send a completed request form to the requesting doctor or duty consultant (depending on type of request) for final check and e-sign default is cc requesting consultants PA to keep in the loop.
PLEASE NOTE that except for screening (self funding) we are currently unable to accept BUPA insuraed patients.
Instructions for use
For information about membership, our scans, downloadable forms and information about using this form/app without wifi/signal see https://www.scvc.co.uk/Forms