Department of Urology

Private Patients

If you wish to be considered for robotic surgery as a private patient:

  1. Read the Terms & Conditions for private patients
  2. Download the Private Patient Application Form (110K)
  3. Print out the form
  4. Fill in as much information as you can
  5. Fax the completed form to +44(0)1223 216069

Get the latest version of Acrobat Reader (30.7MB) if you do not already have a PDF reader.

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