1. Referral information

    GPs and practice managers can use the information on this page to make a new referral or enquire about an existing patient.

  2. Referral Restart Letter 17062020 pdf file icon

  3. Antenatal self referral form doc file icon

  4. Dermatology referral form UPDATED docx file icon

  5. Maternity service self-referral form

    If you are pregnant and require maternity services, you can self-refer to our hospital using the form below. It is important you receive maternity care early in your pregnancy, so please complete our form as soon as you find out you are pregnant.

  6. Lymphedema referral form doc file icon

  7. OPRAC referral form doc file icon

  8. PsychoOncology Referral Form 2015 doc file icon

  9. Pain clinic referral form doc file icon

  10. latent tuberculosis infection referral docx file icon

  11. Pelvic health physiotherapy self-referral form

    The Trust's pelvic health physiotherapy service provides physiotherapy for women and birthing people whose pregnancy is booked at Queen Charlottes & Chelsea Hospital or St. Mary's Hospital.

  12. Maternity GP Referral form docx file icon

  13. PREPREGNANCY REFERRAL FORM_AUGUST2014 docx file icon

  14. Refer to the blood tests service

    Here you'll find advice and referral information for GPs who would like to refer a patient to our blood testing service.

  15. Urgent suspected Tuberculosis referral form doc file icon

  16. Kidney disease in pregnancy (obstetric nephrology)

    We are involved in national and international research, and also in developing the UK clinical practice guidelines in this area of medicine. What We Offer Prepregnancy counselling clinic Having kidney disease can affect pregnancy and make it…

  17. Valerie Saw 2019 Referral Guidance Lubricants Presentation pdf file icon

  18. Children complications of excess weight referral docx file icon

  19. Cranial neurotrauma referral pathway NWL Trauma Network pdf file icon

  20. Childrens burn referral guidelines LSEBN pdf file icon

  21. Adult burn referral guidelines LSEBN pdf file icon

  22. Your appointments

    We provide care for you before, during, and after pregnancy, and we have a wide number of specialist clinics. Your booking appointment will be your first appointment that you will have with your midwife.

  23. Contact our team

    Antenatal Clinics   Our service offers a number of specialist services which are held at our antenatal clinics during our regular opening hours.  If you have an urgent concern or if this is an emergency…

  24. Antenatal perineal massage docx file icon

  25. Register with our maternity services

    Translating this information: To translate this information into your preferred language, click the Google Translate icon located in the top-right menu,…

  26. West London womens physio REFERRAL FORM TRIAGE 29 July 2013 doc file icon

  27. Maternal medicine

    Our maternal medicine service provides care for women affected with any medical disease in pregnancy, as well as pre-pregnancy counselling.

  28. Algorithm for Primary Care Management and Referral to Hepatology Services pdf file icon

  29. Referral assessment services

    On this page, you'll find a list of the Trust services currently available to book via NHS e-Referrals.

  30. CXH TIA referral 2019 pdf file icon

  31. Maternity patient information

    Patient information leaflets  Antenatal colostrum harvesting Choosing a breast pump Eating well for mothers who are expressing Ferinject Follow up care for contraceptive intrauterine device IUD fitted post-birth PPIUC Hand…

  32. FGM Self Referral Form doc file icon

  33. Endobronchial ultrasound referral form docx file icon

  34. Antenatal Education leaflet QCCH doc file icon

  35. Diabetes Service Referral Form pdf file icon

  36. OpRESTORE referral form docx file icon

  37. MSCC MDT Referral Proforma docx file icon

  38. Family planning

    We are only clinic in north-west London offering comprehensive multidisciplinary pre-pregnancy counselling for a range of complex medical diseases and previous obstetric complications. We offer up-to-date advice on medication, and tailored…

  39. PerinatalMentalHealthReferralForm2015 doc file icon

  40. Pinnancle Gym Referral Form pdf file icon

  41. CXH TIA referral 2017 pdf file icon

  42. What to bring

    What to bring to hospital for you and your baby The following checklist is a guide provided by NHS England on what to bring in preparation for labour and birth. If you would like more advice on what to pack, please ask in your your virtual…

  43. Courses and support before and after birth

    Our parent education courses have been created by our midwives, doctors and physiotherapists to give you and your birth partner the information to support your pregnancy, delivery, recovery and journey as a new parent.

  44. Brain CNS MDT referral proforma docx file icon

  45. Antenatal Colostrum Harvesting pdf file icon

  46. Your pregnancy

    Our antenatal care services provide antenatal care in both our hospitals and the community.

  47. How to refer to pelvic health physiotherapy in pregnancy

    Find out how to refer to our pelvic health physiotherapy service.

  48. Endoscopy

    Our endoscopy service has units at Charing Cross, Hammersmith and St Mary’s hospitals.

  49. Two week wait cancer referrals

    Find out how to refer patients to our cancer services.

  50. Charing Cross NeuroRehabilitation Unit Referral Form docx file icon

  51. Heart failure referral form_SG (1) docx file icon

  52. Information for referrers

    The Wembley and Willesden CDCs are now accepting referrals for routine outpatients

  53. Past events

    October 2021 > 07 October: Management of recurrent miscarriage GP study afternoon Miss Claire Ross - The recurrent miscarriage early pregnancy clinic Miss Lynn Sykes - Preterm Birth Dr Stephen Quinn - Management of the couple…

  54. Kidney care in North West London (NWL)

    The Renal Directorate at Imperial College Healthcare NHS Trust provides kidney care for the ~2.4 million population of North West London (NWL) and accepts specialist referrals from elsewhere. This is coordinated through a hub and spoke model, with…

  55. Queen Charlotte's & Chelsea Hospital wards

    This page includes useful information about each of our wards at Queen Charlotte's & Chelsea Hospital, including: visiting times, protected meal times, contact details and simple directions.

  56. GP referral suspected TB Imperial 2016 doc file icon

  57. Changes to maternity self-referrals

    We are limiting routine self-referrals to our maternity units at St Mary’s Hospital and Queen Charlotte’s and Chelsea Hospital temporarily from today, Tuesday 18 February 2025.

  58. Support following a bereavement

    Our hospitals offer practical support for relatives and those close to patients who have died.

  59. Complex pregnancies

    We have several services and facilities to support women with complex pregnancies.

  60. PELVIC MDT PROFORMA docx file icon

  61. Blood tests

    Blood test services are available at Charing Cross, Hammersmith and St Mary’s hospitals. A GP or clinical staff member can refer patients for blood tests at our hospitals.

  62. Home birth

    We provide a home birth service for women living within our catchment area.

  63. Renal assessment unit (RAU)

    Please ring the department if you are feeling unwell and you will be triaged by a member of the team, and an appointment made as appropriate. Please note we are no longer able to provide a walk-in service Address Renal assessment unit Ground…

  64. Antenatal Education Classes at St Mary leaflet doc file icon

  65. Vasculitis

      We are at the forefront of research in vasculitis. We are embedded in the Centre of Excellence for Vasculitis Research at Imperial College London and we work closely with national and international networks in vasculitis, including the United…

  66. Pam Sassoa Renal Planned Investigations Unit

    Location: It is situated on the third floor of C block in the main building at Hammersmith Hospital. It is accessible by lift and stairs in C and D block. Opening times: The unit is open Monday - Friday 07.30 – 20.00 and is…

  67. Maternity services

    Our maternity and obstetrics service provides care for parents and their babies before pregnancy and during pregnancy, labour, birth and beyond.

  68. Meet the blood tests service team

    Our blood tests service offers clinics at Charing Cross, Hammersmith and St Mary's hospitals.

  69. ICHTSelfreferralpaperversion pdf file icon

  70. Psycho oncology at Imperial referral form v6 2019 docx file icon

  71. Pain relief during labour

    Drug-free pain relief  Women and birthing people who choose to give birth in our midwifery-led units, or at home will often use these options.  Gas and air: These are composed of 50% nitrous oxide gas and 50% oxygen. This is used during labour…

  72. Central London CCG CGS Gynae Referral and Triage Form docx file icon

  73. Heart failure pathways

    We've recently been working with patients, GPs, cardiologists, pharmacists and heart failure specialist nurses to transform our end-to-end heart failure. Our objectives have been to: Create a more integrated pathway across primary and…

  74. Renal diabetes

    Jo is a nurse who specialises in diabetes and works with the kidney team. She acts as a link with the kidney doctors and nurses at Imperial as well as the local diabetes teams across north west London. She also works very closely with the kidney…

  75. Renal frailty

    Information for patients and carers about being an older person with kidney failure What is frailty? As we get older, we can experience more health problems and this accumulation can lead to a condition commonly known as frailty, which is a problem…

  76. Groundbreaking mobile critical care service celebrates 3000th referral

    A groundbreaking service – set up to transport critically-ill adult patients across the country – is celebrating its 3000th referral.

  77. Refer to the children's services

    Find out how to refer patients to our children's services.

  78. Pathway coordinator

    The pathway coordinator is the point of contact for all administrative issues relating to patients’ pathway of care from referral to discharge.

  79. Contraception after birth

    Contraception is available through our maternity services. Please speak with your midwife or doctor about your options during pregnancy for the reassurance of having the best contraception for your needs after you’ve given birth.

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