HSJ Awards Logo
ROH 70 years logo2x

 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, please use this referral form.
 

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.
 
 
(Please note this referral form should only be used for limb and truncal tumours. 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)

GP EXTENDED ACCESS

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