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.

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Bowel Cancer Awareness

Get Support When You Need It

Cancer Care West provide professional community-based practical and emotional support services,
free of charge, to anyone affected by cancer in the West and North West of Ireland

Email – [email protected]
Tel – 091-540040 for Galway, Mayo, Sligo, Leitrim, Roscommon and Clare Patients and Family Members
Tel – 074 9601901 for Donegal Patients and Family Members

More info also at Register for bowel screening – HSE.ie

Message From Bowel Cancer Patient Alan Cheevers

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SOME COMMON BOWEL CANCER QUESTIONS ANSWERED BY PROFESSOR MACCON KEANE

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What is the difference between bowel cancer and colorectal cancer?

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What are some common bowel cancer symptoms to look out for?

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Are there Bowel Cancer Screening tests available in Ireland?

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How is Bowel Cancer Treated?

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What Supports are available for Bowel Cancer Patients?

Get Support When You Need It

Tel – 091-540040 for Galway, Mayo, Sligo, Leitrim, Roscommon and Clare Patients and Family Members

Tel – 074 9601901 for Donegal Patients and Family Members
Email – [email protected]

More info also at Register for bowel screening – HSE.ie

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