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.

« All Events

  • This event has passed.
Event Series: The Men’s Morning

The Men’s Morning

January 14 @ 12:48 pm

A peer support group for men living with and beyond a diagnosis of cancer.  Open to men of all ages, stages, whether newly diagnosed, on ongoing treatment or post treatment.  The group meets once a month on a Friday morning.  A chance to meet and chat in a relaxed atmosphere over a cup of tea or coffee. Call Cancer Care West Support Centre on 091 540040

Details

Date:
January 14
Time:
12:48 pm
Series:
The Men’s Morning
Event Category:

Organiser

Cancer Care West
Phone
091 540 040
Email
support@cancercarewest.ie
View Organiser Website

Venue

Cancer Care West Support Centre
72 Old Seamus Quirke Road
Galway, Galway H91 C9W0 Ireland + Google Map

Related Events

Scroll to Top