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NHS GP Referral Form

WE Confirm that this form is delivered securely to our NHS.NET email (SECURE NHS.NET EMAIL)

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Only an NHS GP Surgery can refer. We do not accept self-referral

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​Please see below (the bottom of this page) if your ICB is affected by the 1-year increase in RTC waiting time.

Please note Dr J & Colleagues is regrettably, unable to supports patients for assessments or diagnosis with potential hearing or sensory impairments as this requires specialist qualifications.

GP Surgery Information

Referral for:
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Please see below (the bottom of this page) if your ICB is affected by the 1-year increase in waiting time

Important Notice – ICB Funding Caps

Due to funding limits set by certain Integrated Care Boards (ICBs), the current waiting time for Right to Choose referrals in the areas listed below is now around 12 months.

Unfortunately, this delay is outside of our control.

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Affected ICBs:

  • Sussex

  • Leicestershire

  • Bedfordshire, Luton & Milton Keynes

  • Birmingham & Solihull

  • Bristol, North Somerset and South Gloucestershire

  • Cheshire & Merseyside

  • Coventry

  • Frimley

  • Hampshire & Isle of Wight

  • Kent & Medway

  • Norfolk & Waveney

  • North Central London

  • Suffolk & North East Essex

  • Greater Manchester

  • Somerset

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