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Pindrop

Welcome to our Audiology Patient Referral Form

We look forward to treating your patient.

You can submit a referral online or download a form and email / post to us.

    Patient Details

    Insurance Details (If Applicable)

    Referrer Details

    Prefered Pindrop Appointment Location

    Depends on testing required. If no preference, please leave blank. You can also use our Postcode Checker for distance to locations.

    41 Harley Street412 King’s Road Chelsea748 Green Lanes, Winchmore HillSpire Bushey Hospital

    Test / Service Required (please select all that apply)

    Diagnostic Audiology

    Pure Tone AudiometryHigh Frequency AudiometrySpeech AudiometryStapedial ReflexesTympanometryOto-Acoustic Emissions (OAE)

    Paediatric Hearing Assessment

    Visual Reinforcement Audiometry (VRA)Conditional Play AudiometryAuditory Processing Disorder (APD)

    Vestibular Testing

    Full Test BatteryDix Hallpike Video RecordingCalorics And VNGVideo Head Impulse Test (VHIT)Computerised Posturography

    Vestibular Evoked Myogenic Potentials

    C-VEMPO-VEMP

    Hearing Rehabilitation

    New Hearing Aid AssessmentCochlear Implant AssessmentTinnitus Assessment And RehabilitationHearing Aid ReviewSpeech In Noise TestsLyric Hearing Aid Assessment

    Earmoulds And Hearing Protection

    Swimmers Ear MouldsNoise ProtectionSleep PlugsMusicians Ear Plugs

    Ear Wax Removal

    MicrosuctionIrrigation

    Other relevant patient history



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    Services

    Patient Info

    Contact

    Harley Street

    41 Harley Street, London W1G 8QH

    0207 487 2660
    Winchmore Hill

    748 Green Lanes, Winchmore Hill, London N21 3RE

    0208 360 2510
    Chelsea, Kings Road

    412 Kings Road Chelsea, London SW10 0LJ

    0208 150 2330
    Spire Bushey Hospital

    Heathbourne Road, Bushey Herts, WD23 1RD

    0208 901 5555
    CQC Logo

    Pindrop Hearing Limited is registered in England and Wales No 05909296 Trading address 41 Harley Street, London, W1G8QH. Pindrop Hearing Limited acts as a credit broker and only offers credit products from Tabeo.

    Pindrop Hearing Limited is authorised and regulated by the Financial Conduct Authority. Our registered number is 796909. Credit subject to age and status.

    © Pindrop Hearing 2024