Language: English ENGLISH
Book a Consultation

Referral Form

Referral Form | Clinica London

For Healthcare Professionals

Refer a patient to
Clinica London

Complete the referral form below, or email us directly — whichever is easiest for you. We aim to respond to all referrals within one working day.

Contact Us Directly


140 Harley Street, London, W1G 7LB
Mon – Fri  |  08:30 – 18:00

🔴 Urgent eye referral?

Please call us directly on 020 7935 7990 — we have appointments available daily (Mon–Fri) and can often see your patient the same or next day.


If you are unable to call, you can complete the referral form below and we will treat your submission as a priority.

Patient direct bookings

Patients can book directly with us, please use the button below or call us.

Book a consultation or call 020 7935 7990
Prefer to email or call? You're welcome to contact us directly instead.

Call us on 020 7935 7990 (Mon–Fri, 08:30–18:00)
Email your referral letter to [email protected]
We respond to all referrals within one working day.