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.

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Galway Cancer Support Centre

Based at 72 Seamus Quirke Road, Westside, Galway H91 C9W0 we offer a wide range of services for adults, families and children affected by cancer. Whether you are a patient, the partner, relative or friend of someone with cancer, we are here to support you in whatever way possible. Our group and individual services are confidential, free of charge and are provided by cancer support specialists.  Please take time to explore our services to see what may suit your needs.  

Contact us on 091 540040 and at [email protected] , or drop-in to the Support Centre without an appointment from Monday to Friday 9am to 3:30pm for more information. 

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.

Donegal Cancer Support Centre

Our Donegal Cancer Support Centre located on Pearse Rd. Letterkenny is here to support you in whatever way possible in your experience of cancer. We welcome adults, loved ones and anyone affected by cancer. Whether you are a cancer patient, the partner, relative or friend of someone with cancer, the Centre is for you.

Telephone:  074 960 1901

E-mail: [email protected]

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.

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Accommodation Services

Every day people from all over the west and northwest of Ireland are referred to hospital in Galway for their cancer treatment.  This treatment can take long periods of time and patients often need to stay close to the hospital, necessitating long journeys and a need for somewhere to stay.

Our accommodation services support patients and their families by providing residential and short term accommodation, at no cost, when patients are undergoing treatment.

Find Out More

Mayo Bus

Cancer Care West operates a bus service for Mayo Cancer patients who travel to University Hospital Galway to receive treatment for cancer. The service which commenced in early February 2019 transports patients to Inis Aoibhinn, Cancer Care West’s residential facility on a Monday and home again on the Friday after their week’s treatment.

Find Out More
Mayo Bus website
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