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Primary Care
Prescriptions
How it works
Become a Partner
Register as Doctor
Blog

Self Referral Service

If you need a specific blood test, a X Ray, MRI, CT scan, Ultrasound, fill the questionnaire here.

Our Doctors will review your request and issue the referral.

If for some reason our doctors think that´s not the right test for you they will let you know advising on what are the best options.

Our Concierge Service will assist you with all the booking process from location, prices and all other needs you might have.

25€

Blood Tests
Scans

Name *

First

Last

Email *

Phone *

Full address *

Gender *

Male
Female

Date of birth *

Test Requested *

Why are you requesting this test? *

Please describe your symptoms the best you can:

Starting date *

Symptoms *

Response to any treatments *

Diagnostic from other tests or providers *

Other medical conditions/diagnostics

Single Item

Pay with a Debit or Credit Card

Card

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Name *

First

Last

Email *

Phone *

Full address *

Gender *

Male
Female

Date of birth *

Test Requested *

Why are you requesting this test? *

Please describe your symptoms the best you can:

Starting date *

Symptoms *

Response to any treatments *

Diagnostic from other tests or providers *

Other medical conditions/diagnostics

Please mark if you have any of the following: *

Epilepsy Clips or foreign bodies in Brain / Spine
Pregnant or Breast Feeding Surgeries in last 2 months
Shrapnel or metal objects Medicinal patch
Any history of regular fits/blackouts Metal fragments in Eyes
Cardiac Pacemaker Hydrocephalus Shunt
Renal / Kidney impairment Cochlear implant
Claustrophobia Disabled / On Wheelchair
None

Single Item

Pay with a Debit or Credit Card *

Card

Name on Card

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