Referral Template

To help us deal with your referral, please ensure that your referral letter includes the following:

• Full GP & practice details or External Consultant name & External Agency
• Complete patient demographic data including correct name spelling and date of birth
• Patient's contact telephone numbers etc (these are important in instances when we may be able to offer a patient an earlier or cancelled appointment)
• All relevant clinical information
• Information on any relevant pathology or X-ray tests carried out

GP Referral Template (PDF 9Kb)