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

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.

The Men’s Morning

The Men’s Morning

Cancer Care West Support Centre 72 Old Seamus Quirke Road, Galway
Group Meeting

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 […]

Partner’s Support Group

Partner’s Support Group

Group Meeting

A peer support group for partners of those diagnosed with cancer.  The group invites partners to reflect on the impact cancer is having on them and aims to be a supportive and safe place for partners to share their experiences with others in a similar situation. The group meets every 2nd month on a Friday […]

The Men’s Morning

The Men’s Morning

Cancer Care West Support Centre 72 Old Seamus Quirke Road, Galway
Group Meeting

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 […]

Partner’s Support Group

Partner’s Support Group

Group Meeting

A peer support group for partners of those diagnosed with cancer.  The group invites partners to reflect on the impact cancer is having on them and aims to be a supportive and safe place for partners to share their experiences with others in a similar situation. The group meets every 2nd month on a Friday […]

The Men’s Morning

The Men’s Morning

Cancer Care West Support Centre 72 Old Seamus Quirke Road, Galway
Group Meeting

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 […]

The Men’s Morning

The Men’s Morning

Cancer Care West Support Centre 72 Old Seamus Quirke Road, Galway
Group Meeting

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 […]

Partner’s Support Group

Partner’s Support Group

Group Meeting

A peer support group for partners of those diagnosed with cancer.  The group invites partners to reflect on the impact cancer is having on them and aims to be a supportive and safe place for partners to share their experiences with others in a similar situation. The group meets every 2nd month on a Friday […]

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