Refer a case
Structured case referral
A short structured referral so that the case can be assessed for suitability and the right documentation requested.
Not for urgent clinical decisions. This route is for considered molecular and computational review. Cases requiring urgent management should follow your local acute pathways.
Referrals can also be made by telephone. Call 011 4353 3607 during consulting hours, or email referal.bharat@kpcirc.org directly.
Please do not include patient-identifiable details in this form. Use patient initials or your own local reference number. Identifiable documentation is exchanged separately, through a secure route agreed once the referral has been accepted.
Please do not include patient-identifiable details in this form. Use patient initials or your own local reference number. Identifiable documentation is exchanged separately, through a secure route agreed once the referral has been accepted.
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