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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

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.

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

GP EXTENDED ACCESS

The Royal Orthopaedic Hospital serves as an extended access hub for Our Health Partnership.