My Ultra Health Care Booking Form

Use the form below to make make a booking (£30 booking fee applies). Alternatively, you can call us on 01923 802 489.

Patient's name *

Date of birth *

Contact Number *

Your Email (required) *

Gender

MaleFemale


Please select Scan/Service required *

Which location?*

Preferred appointment date

Or next appointment date

Payment choice *

TelephonePay Online


Please note that we require a £30 booking deposit to hold an appointment. Once your booking form has been submitted one of our Screening Co-ordinator's will contact you to confirm your booking and take payment via the phone or you can pay online by card.


The remaining balance of your scan package is to be paid on the day of your scan.