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For health professionals - Referral process

PET/CT department

We work in conjunction with Alliance Medical LTD (AML) to provide NHS scans to patients from the surrounding area.

Requestors whose patients are eligible for clinical scans (predominately NHS FDG scans) should fill out Alliance Referral.

Patients who do not come under AML (Private patients) requestors would need to fill out Non-Alliance Referral.

Please ensure the request is signed by the referring clinician and has their GMC number; along with 3 points of patient identification are on the request form.

Once the forms are completed please email it to:

add-tr.petctrequest@nhs.netIf there is any further query, please do not hesitate to contact us at

01223 349222