Ent referral form 2025

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If you appear to suffer from chronic sinusitis, your primary care doctor is likely to refer you to an ear, nose and throat specialist (ENT doctor).
Name and address; Age ; Gender; Relationship with service user e.g. partner, neighbour, staff, other family member; Details of whether the person posing a risk is living with the adult at risk; Any immediate actions taken against them or to support them; Any details you may have about historical abuse
Your involvement with the person(s) youre concerned about. The nature of the concern, expressed in a clear and concise way. If there is an alleged perpetrator (someone accused of being responsible for the abuse or harm), any identifiable information including their name, known location or employment details.
However, we highly recommend that you first schedule a visit with a primary care doctor, who can diagnose and treat many ear, nose, and throat conditions. He or she will also determine when you need the help of an ENT doctor and provide a referral.
The referral letter is usually written by someone youve worked closely with, and have a positive workplace experience together. It typically spells out the applicants qualities, skills, characteristics, and explains why theyre the right fit for the job theyre applying to.
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up-to-date information about your health issue. the date of the referral. the reason for the referral. the name, contact details and signature of the person writing the referral.
Please make sure your referral includes the patients: name. date of birth. NHS number. GP details. contact number. brief history, including the date of injury for nose fractures, relevant swab results and date of onset for hearing loss.

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