Albion Medical Practice

Referrals
What would you like to do?

I would like to request a referral I would like to track a referral

Did you book the referral through NHS e-Referral?

Yes No

Was your referral to a local hospital?

Yes No

Referral Request
Name *

First Name Last Name
Date of birth *

Month Day Year
Date
Tel: *
Email *
example@example.com
Named GP (if know)
Who would you like a referral to?
Why do you need this referral?

NHS e-Referral Tracking

If your doctor has referred you to a specialist for further care you will be asked to book your appointment using the ‘NHS e-Referral’ system.

You will receive a letter from us within 2 weeks giving details of how to book your appointment and any passwords you may need.

To track your e-Referral you will need the following details to log into the e-Referral website:
- Your date of birth
- Reference number – this will be on the first page of your letter
- Password – this will be on the second page of your letter
Further information

Choosing from a list of hospitals or clinics
NHS e-Referral Service
Book or change your Specialist Appointment online now

Contact a local hospital

Tameside & Glossop Integrated Care NHS Foundation Trust
Fountain St, Ashton Under Lyne, Lancashire, OL6 9RW
0161 922 6000

0.7 miles away

All Saints Hospital
All Saints Hospital, 159 Grange Avenue, Oldham, Lancashire, OL8 4EF

3.1 miles away

Royal Oldham Hospital
Rochdale Road, Oldham, Greater Manchester, OL1 2JH
0161 778 5665

4.6 miles away

Track a referral
Name *

First Name Last Name
Date of birth *

Day Month Year
Date
Tel: *
Email *
example@example.com
Who were you waiting to be referred to?

I would like to request a referral.
If you would like to request a referral, please make an appointment with a GP to discuss.
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