NCCP Prostate Cancer Referral Form - St James's Hospital 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the patient's details, including surname, first name, date of birth, and contact information. Ensure accuracy for effective communication.
3. Fill in the General Practitioner (GP) details, including their name, address, and registration number. This section is crucial for referral verification.
4. Indicate whether an interpreter is required and if wheelchair assistance is needed. This ensures that all patient needs are accommodated.
5. Complete the referral information section by ticking relevant boxes regarding previous examinations and medical history. This helps streamline the referral process.
6. Provide results for any investigations conducted, such as PSA tests or urinalysis. Attach reports if available to support the referral.
7. Finally, review all entered information for accuracy before submitting the form via email or post to avoid duplication at clinics.

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