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  • Referral Criteria and Referral Forms
    • Referrals - The Blackpool Service
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    • Referrals - The East Staffordshire Service
    • Referrals - The East Coast Service
    • Referrals - The Hounslow Service
    • Referrals- The Newcastle Service
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  • Referrals - The East Coast Service

Referrals - The East Coast Service

How to complete a referral and referral criteria

  • The beginning of the referral form has the criteria for referral.  If you are unsure whether you should refer then please contact the team to discuss on 0800 0121 858
  • Please complete the patient details fully
  • The NHS number is important to us as we are unable to register the patient without this
  • Within special requirements please identify to us any issues we may need to accommodate, such as language or access issues
  • Diagnosis and presenting problem please include relevant items within the past 3 months or longer.  Current medications are important so we are able to conduct a full assessment when we see the patient
  • Spirometry results need to be within the past 12 months, and please attach a copy of the graph.  This is to ensure that patients have an identified respiratory diagnosis by quality assured spirometry.  If the patient has a non respiratory diagnosis this can be ignored
  • The guidance notes at the beginning of the referral form assist in completing the rest of the form
  • Reason for referral – more than one box can be ticked
  • Referrer details – we will contact you if we are unsure or have further questions

Contact Us

Tel: 0800 012 1858 Fax: 0845 600 0096

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Useful Documents
East Coast Referral Form(PDF 41.0 KB) East Coast Service - Key Facts(PDF 449.0 KB)
Clinical Guidelines
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