Referral process

How to refer

Referrals are made using the downloadable form below which needs to be completed by the patient’s GP, Hospital Doctor, Macmillan Nurse, Clinical Nurse Specialist or District Nurse and returned to us by fax or in the post.

Download the referral form by clicking here. Please note, the referral form consists of three pages. Once completed please fax back to 01252 729405 or post to:

Medical Secretaries

Patient Referrals

Phyllis Tuckwell Hospice

Waverley Lane

Farnham

GU9 8BL 

Additional information request

Please remember to include all relevant clinical and diagnostic information with the referral form, this helps the clinicians with their review of all referrals and is vital for the effective assessment of patients and their families.

Urgent referrals

Where the referral is urgent, please telephone and ask to speak to the medical (community or inpatient) secretaries and they will ensure a clinician responds to your call.