Breast Rapid Diagnostics Referral Form

Notes

Where possible, please address all referrals to ‘Dear Doctor’. This will often reduce the amount of time the patient needs to wait for their appointment. However, if you or your patient have a preference for a particular consultant, please address your referral directly to the named consultant.

The address for all non-urgent referrals is:

Call Centre
Outpatients Department
Queen Mary’s Hospital
Roehampton Lane
Roehampton
London
SW15 5PN

To help us and your patient please ensure that your referral letter includes:

Full GP and practice details
Complete and correctly spelt patient name and date of birth
All relevant clinical history
Any relevant pathology or scan results
Whether an interpreter is required
If you have booked transport for the patient
Patient contact telephone numbers
Patient’s NHS number
If you have any queries about referrals or appointments, please call the Call Centre on 020 8487 6290.

Any GPs who have an urgent question relating to a patient’s appointment may contact the designated GP helpline on 07879 858 307. GPs can also call 020 8487 6848 for advice during office hours.