HCP Referral

HCP Referral Form

Please fill out the form below to refer your patient.

"*" indicates required fields

This field is for validation purposes and should be left unchanged.

Patient's Details

Patient’s Name*
Patient’s Date of Birth

Referrer’s Details

Consent*
Please note: We are not an emergency service. If you need emergency input regarding this referral please link with the patient’s GP or contact Emergency Services as appropriate.

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Accommodation Services

Photo: REG GORDON

Cancer Care West helps cancer patients and families with residential and long term accommodation supports, free of charge.

Inis Aoibhinn

Inis Aoibhinn is Cancer Care West’s residential facility which is located on the grounds of University Hospital Galway. Inis Aoibhinn provides residential care for people receiving radiotherapy treatment at UHG. At Inis Aoibhinn patients can stay with a family member or friend for the duration of their treatment where they have complete independence as well as the comfort of 24 hour nursing care.

Referrals to Inis Aoibhinn are made through the Radiotherapy department at University Hospital Galway. All residents must be able to transfer independently to the Radiotherapy Department.

More information here

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