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.

Inis Aoibhinn staff Ann Burke

Ann Burke

Ann is a true Galway girl. She has a lot of experience working as a Healthcare Assistant since 2007.  Ann started working for Cancer Care West Inis Aoibhinn in May 2014. Working with people has being a long standing pursuit for Ann and she has a particular  interest in working with cancer patients with whom she has a deep understanding.  Ann is always there to help and listen to residents and her work friends.  In her spare time, she loves to go to watch her 3 kids play football, hurling, soccer and she also loves to travel.

Scroll to Top