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Make a Booking/Contact Us
FAQ
Prices
Services
NHS Insource Portfolio
Media & Instructional Video
Make a Booking/Contact Us
Call us on 01204 322509 or complete the form below and we will contact you right away
Make a Booking/Contact Us
6EnvaW
2023-08-19T16:48:05+00:00
Make a Booking/Contact Us
Requests can be sent securely to
info.scanassure@nhs.net
Patient Details
Forename
*
Surname
*
DOB
Telephone Number
*
Email address
*
Examination Requested
Examination Type
Upper abdominal (liver, pancreas, kidneys, gall bladder, spleen)
Urinary tract (kidneys, bladder, prostate)
MSK / Soft Tissue
Pelvic
Obstetric
Scrotal
Hernia
AAA
Other
Is the patient ambulant
Yes
No
Does the patient require an interpreter
Yes
No
Diabetic Status / Any special requirements:
Lowry Clinic HQ 01204 322509
info.scanassure@nhs.net
www.scanassure.co.uk
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