MOS Referral Form

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Please note: Information on this page is for GDP use only.


Thank you for referring patients to NHS IMOS service provided by VSS.

We kindly ask you to send the completed referral form along with radiograph to the following address:

NB. Please use secure email when sending referrals electronically.

The referral form can be downloaded below. We also have a non-editable example form that can be downloaded for reference.