Refer a patient

If you are a GP or clinician, use the form below to refer a patient to Chiltern Knee Clinic. We will respond as soon as possible within usual working hours.


Patient's date of birth

Referral letter to follow


Referral letter (Word doc or docx formats only)

When uploading documents please ensure total file size is under 10mb


If you have any questions in relation to our disclaimer, please e-mail us at