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

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.

Make a real difference in someone's life....

Complaints Procedure

We are committed to the highest standard of donor care. We treat all complaints with the utmost seriousness and endeavour to respond politely and promptly. We are committed to learn from any feedback we receive from the general public and our supporters.

If you have feedback or a complaint

If you have a complaint about any aspect of our work, you can contact Cancer Care West in writing or by telephone. In the first instance, your complaint will be dealt with by a staff member who will aim to resolve the issue themselves or forward it to the most appropriate person to respond. Please give us as much information as possible and let us know in what format you would prefer us to respond to you, providing relevant contact details.

Write to:

Richard Flaherty
Chief Executive Officer
Cancer Care West
Inis Aoibhinn
University Hospital Galway
Galway
Phone: 091-545000
Email: [email protected]

Our office is open Monday to Friday from 9.00 am to 5.00 pm

What happens next?

If you provide feedback or submit a complaint in person or over the phone, we will try to resolve the issue there and then. If you submit a complaint by email or in writing we will always acknowledge your complaint within 5 working days, and do everything we can to resolve it within 21 days. If this is not possible, we will explain why and provide a new deadline.

What if the complaint is not resolved?

If you are not happy with our response, you may get in touch again by writing to the Chairman of Cancer Care West. The Chairman will ensure your appeal is considered at the highest level and will respond to you within two weeks of this consideration. If you are not satisfied with this the complaint will be referred to our Board.

All matters of illegality should be addressed immediately to An Garda Siochána.

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