HCP Referral

HCP Referral Form

Please fill out the form below to refer your patient.

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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.

Nora Eilert

Dr. Nora Eilert

Dr. Nora Eilert completed her Doctorate in Counselling Psychology at Trinity College Dublin in 2018 and since 2021 has been working in the Cancer Care West Support Centre Galway. She uses an integrative approach to support people directly or indirectly affected by cancer, collaborating with them in identifying their needs and working towards their goals. Nora has a keen interest in peer support and leads various peer support groups for those affected by cancer. She is an experienced researcher and has published her work in peer-reviewed journals.

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