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Referral Forms

Consultant Directory

Click the image to download our latest directory in PDF format.

Bupa Cromwell Hospital Consultant Directory

Dedicated GP referral service

Call Cromwell Direct to make a referral on

+44 (0)800 783 9229

More about Cromwell Direct

Login to the Doctors' Lounge

A dedicated area for General Practitioners


Referring your patients to Bupa Cromwell Hospital

All the information you need to refer your patients can be found here, from making appointments, downloading forms for investigations, through to information on self-pay packages.

Select a heading for more information.

Patients should be asked to sign a form to give or refuse consent for sending details of the treatment provided by Bupa Cromwell Hospital  to their GP or dentist. You can read our best practice statement from our Integrated Governance Committee and also download our patient permission consent forms.

Bupa Cromwell Hospital has arrangements with most insurers.  In most cases, bills for inpatient, day case and radiotherapy treatment can be settled directly with the insurer. However, some insurance policies do restrict the hospitals that can be used for inpatients or day case treatment. 

Outpatient visits are normally unrestricted but may be subject to an annual benefit limit.

We recommend that all insured patients confirm their eligibility for treatment with their insurer prior to visiting the Hospital.

The Cromwell Breast Care UnitSpecialist Bowel Cancer UnitMRI Unit and Critical Care facilities are all Bupa approved.

Bupa Cromwell Hospital Inpatient Accounts

Contact Inpatient Accounts

Call on 020 7460 5770 for further information if you have any queries.

For uninsured patients a wide range of competitively priced packages are available in the following specialities:

  • Cardiac surgery
  • Dental surgery
  • Ear, nose and throat surgery
  • General surgery
  • Gynaecology
  • Ophthalmology
  • Orthopaedics
  • Paediatrics
  • Plastic surgery
  • Urology
Bupa Cromwell Hospital Self pay Packages

Contact Inpatient Accounts

Call 020 7460 5770 for further information and current prices.

This section will help you make a referral for an international patient directly.

Referring a patient to the hospital directly

Please download and complete the international patient referral form and complete a medical report .  This should be in English and no more than three weeks old.  Please give  the patient's details including:

  • name

  • age

  • medical history
  • general fitness
  • any medical issues
  • other relevant information

Please send both documents to the International Patient Centre:

Email Bupa Cromwell Hospital International Patient Centre

Email the International Patient Centre

Fax our International Patient Centre on +44 (0)20 7835 2480

Call our International Patient Centre on +44 (0)20 7460 5660

Visa assistance

Once your appointment is confirmed and funds have been received your international care co-ordinator will send you a 'confirmation to treat' letter.  This will include all the details you need to help you apply for a visa if you need one.

International care co-ordinators are here to help and advise you.  However, Bupa Cromwell Hospital has no influence on UK immigration policies.  Securing an appointment and receiving an invitation to treat does not guarantee that your visa application will be successful.

Important financial matters

Self-pay patients

Once your appointment has been confirmed we will send you a letter giving details of the appointment and the estimated cost of our services. To guarantee your appointment, please complete and sign a credit card authorisation form before you arrive.  Alternatively you can transfer funds directly to our bank account. As a self-pay patient you may receive separate invoices from your consultant and anaesthetist.  If you have deposited sufficient funds with us, we can settle these accounts for you.

When you arrive at the hospital your international care co-ordinator will help you complete any financial matters prior to your appointment with us.  If we need to schedule additional appointments we will prepare a detailed and personalised estimate for you.

Before you leave the hospital, a financial administrator will review all posted and estimated charges and payments with you.  To ensure that your account is complete and accurate we will send you a final statement of charges within 20 days, if you need to have this information sooner, please tell you international care coordinator.

Methods of payment

We are pleased to accept by a variety of payment methods:

Payment method

  • Visa
  • MasterCard
  • American Express
  • travellers' cheques
  • cash

Wire transfers to

Barclays Bank Plc
Business Banking
PO box 15162
50 Pall Mall
United Kingdom

Account name

Medical Services International Limited

Account number


Sort code



GB09 BARC 2065 6300 5298 77



Insurance sponsored patients

We work with many health insurance companies throughout the world.  If you have insurance cover, please give your international care co-ordinator the policy details when you request an appointment.

Please bring with you the letter of authorisation from your insurance company.  If you are being admitted as an emergency patient, a financial administrator will contact your insurance company to confirm your eligibility, and seek their authorisation for your admission.  If Bupa Cromwell Hospital does not have an agreement with your insurer, you can pay your account to us directly then submit a request for reimbursement directly to your insurer.

Please note that you are responsible for any co-pay, deductible and/or co-insurance amounts, as well as the cost of services denied for payment by the insurance company.  Payment must be made in full before we can begin services.  Please also note that many international insurance companies require their clients to pay for out-patient treatment and then seek reimbursement.

Health insurance companies Bupa Cromwell Hospital has agreements with include:

Embassy-sponsored patients

You do not need to make a deposit in advance, but please note that we must receive a 'letter of guarantee' from your embassy before your appointment date.

For further information or advice

Email Bupa Cromwell Hospital International Patient Centre

Email the International Patient Centre

Fax our International Patient Centre on +44 (0)20 7835 2480

Call our International Patient Centre on +44 (0)20 7460 5660

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If you do not find the information you are looking for, please contact our GP Liaison team on +44 (0)20 7460 5973.