If you need any help completing your form please visit our support page.
Thank you for visiting Ramsay Health Care UK registration. Can you please take the time to carefully complete your details on the following registration form. It should take a maximum of 10 minutes to complete.
Please ensure you have this information readily available as you will need to complete the form in one session and will not be able to save and return later to complete the form.
ALL PATIENTS: I hereby undertake to pay Ramsay Health Care UK Operations limited (Ramsay Health Care UK) for services and
materials relating to my treatment as a private patient including in the circumstances where medical insurance proves not to cover the
specific course or part of the course of the treatment. This also applies to diagnostic treatments, therefore it is important that you seek
clarification from your insurer as to what will be covered in your policy as you will be responsible for any settling. Please be aware that
pre-operative tests will be invoiced to your insurance company (where applicable) as Outpatient charges.*
Ramsay Health Care UK Operations Limited is committed to ensuring the privacy and confidentiality of your personal information,
and to protect it from unauthorised access and disclosure.
In order to provide you with accurate and timely information about your appointments and treatment with us, we will need to
contact you, and ensuring we use the best method of communication is vital.
Please let us know how you would prefer us to communicate with you
To improve our level of care and service; Ramsay is required to monitor patient satisfaction of the services provided to you. We
may contact you by email through our third party survey provider, Cemplicity, to ask you to complete a patient satisfaction survey.
Please note that we will share your name and email address with Cemplicity to enable them to contact you directly.
To keep you informed about our services; are you happy for Ramsay Health Care to:
We will only send you marketing information where you have agreed to opt in to receive it. We will only use your preferred
communication channels to contact you and you will be given the option to select this when opting in. You can stop us from
contacting you for marketing purposes by clicking on the ‘unsubscribe’ link embedded within the email that has been sent to
you. Doing so will remove your personal data from our contacts list automatically.
Your selected hospital doesn't match your confirmed hospital above.
By clicking submit, I agree that the signature will be the electronic representation of my signature for the submission of my registration form - just the same as a pen-and-paper signature and that I agree to the terms and conditions.
Please complete the Recaptcha above.
We will get back in touch if there is anything we need to clarify.
There was an error processing the referral, please try again later.