What does nhs online referral form look like 2026

1. Click ‘Get Form’ to open the NHS Online Referral Form in our editor.
2. Begin by entering today's date in the specified format (dd/mm/yyyy). Next, select the clinic you are referring your patient to and indicate if you have a preferred consultant.
3. Complete the GDP/GMP details section. Specify whether you are a General Dental Practitioner or General Medical Practitioner, and fill in your name, practice address, and telephone number.
4. Provide your patient's information including gender, title, first name, family name, NHS number, date of birth, and address. Ensure all contact numbers are filled out accurately.
5. Detail your patient's dental condition and medical history. Include any medications they are currently taking and specify what assistance you require from the hospital.
6. If applicable, complete the Basic Periodontal Examination section and indicate if any additional documents such as radiographs or photographs have been sent.
7. Finally, sign the referral letter digitally within our platform before sending it to the designated clinic address provided at the bottom of the form.

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