Specialist Service Referrals

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Two week wait referral forms

All two week wait referrals must include the appropriate pro-forma as an attachment.

The pro-forma contains the appropriate clinical information, reason for referral (letter text) and a section for basic patient information (name, date of birth, NHS number and NHS e-Referrals UBRN). This should be sent together with the practice’s standard referral letter, which will contain full patient demographic information, practice details and items from the patient’s medical record if this has been set up. Both documents must be attached at the same time.

It is recommended that these pro-formas be downloaded and saved in an appropriate folder on your clinical server so that they can be used by all users within the practice.

Find a list below of the relevant two-week wait referral forms:

Download Two-week wait patient information leaflet

Below is a list of our specialties and how to refer to them.  For other services please contact the service directly or refer to our Key Documents site.