HCP Referral

HCP Referral Form

Please fill out the form below to refer your patient.

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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.

Cancer Support Centre

Eithne’s Story

When I heard the words breast cancer my first thoughts were for my three teenage kids, and how my husband and I were going to tell them.  I was devastated, not so much by my diagnosis, but by the legacy that I felt I might be leaving my daughter (I have two sons also).  We […]

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Maria’s Story

From the moment I arrived at the Cancer Support Centre I felt welcome. I talked to Elaine, one of the Oncology nurses, and realised that it was the first time since my diagnosis that I didn’t feel alone. I am generally a resilient, positive person, but cancer can be a very isolating illness and there

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Ryan’s Story

I always wanted to work in overseas development, so after University I took a course teaching English and travelled to Ghana to experience working abroad. I was there 9 months when I started getting abdominal pains and at first assumed I had eaten something that didn’t agree with me. After a few weeks it got

Ryan’s Story Read More »

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