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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Dr. Maria Dillon

Dr. Maria Dillon is a Clinical Psychologist. She completed her Doctorate in Clinical Psychology at the University of Galway in 2023 and joined Cancer Care West in 2026, having previously worked in the HSE. Maria has a strong interest in providing emotional support to children and adults who are navigating challenging life events and adjustments, using a collaborative and person-centred approach.

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