To make an appointment for a consultation or any of the procedures listed you will need a referral from your General Practitioner (GP).

You view and print a pdf copy of the referral form here:

 Referral Form (58 KB)

Or fill in the online version below which you may print and it will email VCS, the GP and patient if the appropriate fields are filled in.

Required *

Services Requested

ConsultationStress ThalliumEchocardiographyExercise ECGStress Echocardiography24hr Holter Monitoring


Patient Details
Referrer Details

You will receive a copy of the details submitted to your email address.