How to refer
Clinicians may refer using the form below or by phoning 020 8768 4582 (9am to 5pm Monday to Friday) or 020 8768 4500 (24 hours). Please telephone for all emergency referrals.
Once completed please email to firstname.lastname@example.org.
Please make sure that you send this form using a secure email account such as NHS email.
If you would like to integrate our referral form into your electronic patient record system, please email email@example.com
We welcome discussion with community or hospital colleagues about cases where they need urgent advice, are uncertain whether to refer or need help signposting to other services. Advice for professionals from senior medical and nursing staff is available 24 hours a day (020 8768 4500). Anticipatory prescribing for end of life guidance can be found here.