Private Healthcare UK - Consultants and Specialists Data Entry Form

If you would to like to list your private hospital or private practice on Private Healthcare UK, please complete the form below, and we will provide you with a basic listing on our consultants and specialists database. If you wish to take advantage of a standard listing or would like to subscribe to a featured page on our website we will be in touch within 24 hours.

» Required Fields

» Surname (required)

» First name (required)

» Job title (required)

» Primary specialty

Secondary specialty

Qualifications

Professional memberships

Year qualified

Main NHS Hospital

» Private hospital/practice name (Your main base for private practice)

» Street address of private hospital/practice

» City/Town of private hospital/practice

» County of private hospital/practice

» Postcode of private hospital/practice(This is the postcode which will be used to locate you on the website)

Private practice tel:

Number to call for appointments:

Private practice fax:

Cosmetic procedures (Cosmetic surgeons only)

Breast augmentation
Breast reduction
Breast uplift (mastopexy)
Chemical peel
Dental implants
Ear correction (pinnaplasty)
Eye lid surgery (blepharoplasty)
Forehead/brow lift
Full facelift
Injectables (eg lip enhancement)
Laser hair removal
Line smoothing/filling
Liposuction
Male breast reduction (gynaecomastia)
Mini facelift
Nose reshaping (rhinoplasty/septoplasty)
Skin resurfacing (dermabrasion)
Thread vein treatment
Tummy Tuck (abdominoplasty)

Harley Street Consultants only.
If you have a practice or rooms in the Harley Street area of London, include the contact details here.

Harley Street address and postcode

Harley Street telephone number

The following information should only be completed if you wish to take advantage of an Enhanced Listing for an annual fee.

Web site address

Email address

Pen picture

Clinical interests

Research interests

» Would you like us to contact you regarding a Featured Page on our site?

Yes
No