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 Referral Forms

In order for you to ensure the correct referral is completed, please see below for the referral options. If you require support, please call 0121 685 4186 or email This email address is being protected from spambots. You need JavaScript enabled to view it.

If you are emailing from an email account which is not part of NHS.net, you should be aware this is an insecure route and is at your risk. Please advise your patient of this and check they are happy before proceeding

GP NON-URGENT REFERRALS

If you have access to NHS eReferrals please refer your patients via this method, rather than by post or email.
 
GP referrals for routine or urgent non-2ww patient referrals should download and complete this form in its entirety and return. If you do not have access to eReferrals, please email this form to This email address is being protected from spambots. You need JavaScript enabled to view it.:
 

SPINAL ONCOLOGY REFERRAL FORM

If you need to make a spinal oncology referral for patients with MSCC, metastatic or primary spinal tumours, we use an online referral system ensuring speed of access and accurate information transfer and recording of all spinal oncology referrals, please go to:- https://www.referapatient.org/refer-a-patient. 

EMERGENCY INTER-HOSPITAL TRANSFER REFERRAL

If you wish to make an emergency inter-hospital transfer referral, the following form should be downloaded.

DIRECTORY OF SERVICES

We offer a wide range of surgical and non-surgical treatments, both here and in the community. Download our directory of services to find out more.
Download Directory

GP 2WW REFERRALS

If you have access to NHS eReferrals, please refer your patients via this method, rather than by post or email.
 
If you wish to refer a patient with a suspected sarcoma, who fits within the NICE Guidelines criteria for a 2ww referral, please complete and send the following referral form via NHS eReferrals. If you do not have access to eReferrals, please email this form to This email address is being protected from spambots. You need JavaScript enabled to view it.:
 
Click Here for NICE Guidance

GP Imaging Referral Form

GPs please fill this form in for imaging referrals including repeat injection referrals.

Contact details for the department are: MRI Department, Royal Orthopaedic Hospital, Bristol Road South, Northfield, Birmingham, B31 2AP
Telephone: 0121 685 4135 Email: This email address is being protected from spambots. You need JavaScript enabled to view it.

Download the form here: pdf GP Imaging Referral Form (668 KB)

Click Here for NICE Guidance

TERTIARY REFERRALS

If you are a hospital with a patient you wish to refer for diagnostics or treatment, please use the form below.
 
Once completed, it should be emailed to This email address is being protected from spambots. You need JavaScript enabled to view it.
 
 

This referral form should only be used for limb and truncal tumours.

Spinal tumour referrals for ROH should be sent via https://www.referapatient.org/refer-a-patient

If the patient has a suspected sarcoma of the head and neck, breast, gynaecological or intra-abdominal regions, please refer to the Queen Elizabeth Hospital Birmingham.

Queen Elizabeth Hospital Referrals

Queen Elizabeth Hospital Referrals

GP EXTENDED ACCESS

The Royal Orthopaedic Hospital serves as an extended access hub for Our Health Partnership.
 
Click here to find out more