Pre-Operative Uplift

This form is not for authorisation of treatment. Authorisation should be undertaken in the usual way with your patient contacting Customer Service.

For pre-operative uplift requests we will provide an estimated fee. To do this we need:

  • Explanation of why an enhanced fee is appropriate
  • The estimated time in theatre
  • Indication of what you are likely to charge based on this
  • Full descriptions of the procedure being performed and any procedure codes.

Important: All uploaded documents must be clearly legible; otherwise we will not be able to review your request.

If you need to upload more than one document, please upload your files here