Make a referral
Our online referral form is simple, safe, and secure. All patient details will be processed in the strictest confidence. A unique reference number is generated for each enquiry which ensures subsequent communication between Priory, the referrer and patient, is efficient, accurate and safe. To ensure you successfully receive electronic correspondence from Priory, please add Priory.Referral@nhs.net to your safe list or address book.
All patient details will remain confidential and will only be used for administrative purposes to help us assist with your enquiry. Any information you provide is encrypted and submitted over a secure connection and cannot be viewed by anyone else on the web. Please complete the form below and your enquiry will be dealt with promptly. Alternatively, you can email us, or call our dedicated GP enquiries line on 0800 090 1354
You can also download a copy of the referral form, which can be completed and scanned or faxed to Priory: PDF copy / Word copy