Request a Private ENT Consultation in London
Request an appointment with Mr Max Whittaker, Consultant ENT Surgeon, for perforated eardrums, hearing problems, chronic ear disease and specialist ear surgery.
Complete the secure consultation request below. The clinic team will review your preferred location and appointment details before contacting you to confirm the next step.
Specialist assessment for tympanic membrane perforation, hearing loss and middle-ear conditions.
This form requests an appointment
Submitting the form does not automatically confirm an appointment.
The clinic team will receive your request, review your preferred clinic and appointment details, and contact you to confirm availability.
Please provide enough information to help the team understand the purpose of your enquiry, but do not enter a detailed medical history into the short message field.
Sudden hearing loss, rapidly worsening symptoms or other urgent medical problems require prompt medical assessment rather than waiting for a routine private appointment request.
Request your appointment
Complete each step below. Fields marked as required must be completed before the request can be submitted.
If the consultation request form does not appear, confirm that TPC Secure Booking v1.0.0 is active.
Call 020 3950 7678Choose from four private hospital locations
The booking form allows you to indicate your preferred clinic. Final availability is confirmed by the clinic team.
HCA UK at The Shard
32 St Thomas StreetLondon
SE1 9BS Get directions ↗
The London Independent Hospital
1 Beaumont SquareLondon
E1 4NL Get directions ↗
Spire London East
Roding Lane SouthWoodford Green
IG4 5PZ Get directions ↗
The Holly
High RoadBuckhurst Hill
IG9 5HX Get directions ↗
Choose the location that is most convenient for you, or contact the clinic team on 020 3950 7678 if you would like help before submitting your request.
Designed for a medical booking workflow
Consultation requests can contain personal and health information. The booking system therefore uses server-side processing rather than relying on a simple browser-only form.
Minimal information
The form asks only for information needed to process the consultation request.
Server-side validation
Submitted information is validated and sanitised by WordPress before the request is accepted.
Protected notification
Administrative notifications avoid placing detailed clinical information in the email subject line.
Controlled retention
Booking data can be managed and removed according to the clinic’s configured retention policy.
Please keep the short message concise
The booking form includes a short field for the reason for your consultation. Use it to provide a brief summary rather than a complete medical history.
If reports, scans, photographs or other sensitive clinical documents are required, the clinic can advise you how they should be supplied.
Requesting a consultation
Practical information about using the online consultation request.
No. The form submits an appointment request. The clinic team will contact you before the appointment is confirmed.
Yes. The form allows you to indicate your preferred clinic. Final appointment availability will be confirmed by the clinic team.
The booking system allows you to identify whether the request relates to an adult or child. Provide the appropriate patient and contact information requested by the form.
No. Give a concise reason for the consultation. If detailed records or clinical documents are required, the clinic can provide an appropriate route.
Yes. The booking form allows you to identify whether you are requesting a new-patient consultation or a follow-up.
Sudden hearing loss requires prompt medical assessment. Do not rely on a routine website booking request if you need urgent medical care.
Contact the clinic team directly
If you would rather arrange your consultation by telephone, call the clinic team.