Referral forms
Find out how to refer a patient to our services.
NHS e-Referral Service
Referral forms
Law and ethics group erefer form
Following submission of the e-refer from, we will arrange a telephone conversation with the referrer within 24 hours to take place between 9am and 6pm.
Referrals to our clinical services can now be found on the G-Care website
If you need to contact one of our specialty teams, you can find contact details in our Services pages. For a specific consultant's details please take a look at our list of Consultants.
Perineal Clinic
Patients can be referred to the Perineal Clinic by a doctor, physiotherapists, midwife or health visitor. An eRefer form is coming soon
Telephone: 0300 422 6246 (Gynaecology outpatients)
Radiotherapy Late Effects service
Health professionals can refer patients or find out more about the service by emailing ghn-tr.radiotherapylateeffects@nhs.net
You ca also use the eRefer form