Patient referrals

We want to make it as easy as possible for you to refer your patients to one of our experts at The Lister Hospital.

You can refer your patients using our online referral form

A number of our standard referral forms are available to download in PDF and Word format, and most are also compatible with EMIS, saving you time. Either download the request forms from the list below or email your request to us.

• GP referral
• Imaging referral form – The Lister Hospital
• Imaging referral form – Chelsea Outpatient Centre
• Cardiopulmonary referral form
• Direct Access Endoscopy
• Outpatient pathology
• Physiotherapy referral form
• Vascular referral
• Women's health and wellbeing imaging

Contact details

For outpatient appointments (8.00am-6.00pm)
t: 0207 881 4000
f: 0207 881 4074

For inpatient admissions (8.00am-6.00pm)
t: 020 7824 8679
f: 020 7730 7208

For Acute admissions
t: 020 7881 4190