Refer a Patient

Patient Details

Name (required)

Date of Birth(required)

Address

Telephone

Email

Insurance Provider

Policy Number

Authorisation Number

Referring Doctor

Address (for reports and results)

Telephone

Email

Preferred Location
41 Harley StreetChelsea Out patient centreThe Lister hospitalSpire Bushey

Services Required
Diagnostic AudiologyPure tone audiometry (PTA)TympanometrySpeech audiometryAcoustic reflex thresholdUncomfortable loudness levelPaediatric hearing assessmentVestibular testingCaloric and VNG (Video nystagmography)Dix Hall Pike (Video recording)VEMPS (Vestibular evoked myogenic potentials)Vestibular RehabilitationAudiological rehabilitationNew hearing aid assessmentHearing aid follow upCochlear Implant assesmentMiddle ear implant (BAHA, Bone Bridge orVibrant sound bridge)Lyric, extended wear invisible hearing aidTinnitus Assessment and ManagementHearing protectionSwimmer’s moulds

Relevant History

Please send more referral forms
Yes

Hearing Aid Manufacturers

At Pindrop Hearing w e are authorised independent providers for all of the world’s leading hearing aid manufacturers.

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Memberships

Pindrop Hearing are members of multiple professional bodies and associations within Audiology.

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Contact Us

Contact Form

Locations



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 Outpatients Centre

280 Kings Road Chelsea,
London SW3 5AW



Spire Bushey Hospital

Healthbourne Road, Bushey
Herts, WD23 1RD

Quick Links

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 Duologi.

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