How To Refer An NHS Patient

Referrers have several options available:

• By visiting: www.chooseandbook.nhs.uk   (https://www.ebs.ncrs.nhs.uk)
• By email: referrals.uksh@nhs.net
• By telephone:  0117 906 1800 (followed up by a letter within 24 hours)
• By fax: 0117 906 1950
• By post: Cirencester NHS Treatment Centre c/o Emersons Green NHS Treatment Centre, The Brooms, Emersons Green, Bristol BS16 7FH
  

For our detailed Referrer Information Guide please click here.

Colonoscopy Mandatory Referral Proforma

Please print a copy of the mandatory colonoscopy proforma, complete all the details and sign the form. Completed forms should be faxed to  0117 906 1950. To download the form please follow this link.

Dental Surgery Referral Form

Please print a copy of the dental surgery referral form, complete all the details and sign the form. Completed forms should be faxed to the relevant treatment centre. To download the form please follow this link.

Referral Guidelines

The majority of cases can be treated, however there are a number of exclusion criteria to ensure the safety of all patients. For detailed referral guidelines please follow this link.