Paediatric Bladder and Bowel Care Service
Referral form for General Surgical Emergency Clinic
Please send to: firstname.lastname@example.org
Community speech and language therapy referral form
This form is for community referrals only. For community hospital in-patients, please continue to refer to the local therapist.
Urgent two week referrals for suspected cancer
Patients that do not meet the referral criteria for direct access OGD, flexible sigmoidoscopy or the bidirectional endoscopy (OGD and colonoscopy) service for IDA need to be referred using the Colorectal Cancer (CRC) referral form or to Gastroenterology depending on the clinical scenario. This will allow for clinical assessment of the patient before proceeding to endoscopy. The Trust will be working with the clinical teams regarding the new NICE referral guidance and will ensure developments/progress is communicated as it becomes available.
Please ensure that all patients being referred with suspected cancer have recent FBC’s and U&E’s available- thank you.
Forms located on the North & East Devon Formulary and Referral site
Suspected Head and Neck Cancer Referral Guidance – January 2016
Further to recent communications, suspected cancer ENT and Thyroid referrals need to be referred to the Royal Devon and Exeter using the forms below. These referrals will need to be made through the e-referral system as Royal Devon and Exeter do not accept faxed referrals.
Northern Devon Healthcare Trust will continue to receive suspected cancer referrals for Maxillo-Facial referrals which will be received in the usual manner; either e-referrals or via Fax.
ENT and Thyroid referral Forms – RD&E
Maxillo-Facial referral Form – NDDH
Haematology Referral and Advice Sheets
All GPs have been issued with a username & password to access some of the content on these pages. If you need a password reminder please contact email@example.com or firstname.lastname@example.org
Referral to the Orthoptist (pdf)
Diabetes Foot Pathways
Acute diabetes foot pathway referral form (word doc)
Screening of the Diabetic Foot
Type 2 Diabetes Structured Education