Refer a Patient
Please fill in the form below to refer a patient to Sapphire Clinics. You will receive a confirmation email once the referral has been received.
Alternatively, you can download the form below and send to firstname.lastname@example.org or post it to Sapphire Medical Clinics, 10 Harley Street, London, W1G 9PF along with any additional past medical history / records. Please ensure you provide the patients NHS number, email address, and your GMC number.
This information will be used to create a PKB account and stored securely on the PKB server, a trusted partner of the NHS