Referring Clinicians

The London Lithotripter Centre accepts referrals from Consultants, GP's and Physiotherpists from across UK & Internationally

 
 

Urology Consultants - ESWL

The form on this page can be used to refer patients for treatment at The London Lithotripter Centre. Please download (Click in the top left hand corner of the document) and print the form, complete, scan and email to lithotripsy@thecromwellhospital.com

Once we have received the completed form a member of our clinical team will contact the patient directly to complete a telephone pre-assessment and discuss a convenient time for the patient to attend our clinic for treatment.

ESWL - Extracorporeal Shock Wave Lithotripsy Referral Form