City & Hackney lymphoedema referral

To make your City & Hackney lymphoedema referral please complete all the applicable fields in the form below.

Please ensure all housebound patients are seen in the first instance by Community Services in advance of referral to the Lymphoedema Clinic.

City & Hackney Lymphoedema referral form

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    Accepted file types: pdf, doc.
    You can upload your EMIS files here or email as per the details below.