UK 028 90 667 878  ROI 048 90 667 878 
ROI 071 916 2649 
ROI 048 9068 8858 
Referrers are required to complete all sections accurately. Incomplete forms will not be accepted.
This form requires submission of a letter of referral from either a GP or consultant to book an endoscopy procedure. If you do not have a referral letter you can book an appointment with a Kingsbridge GP or consultant by using the link below.
Our procedures team will be in contact within one working day of your appointment booking.