Essential referral information Without this information the referral will be returned Details of relevant signs and symptoms Details of all treatments offered and efficacy Past medical history and...

Essential referral information Without this information the referral will be returned General referral information Patient and family history of gastrointestinal cancer Previous endoscopic procedures...

Essential referral information Without this information the referral will be returned General referral information Patient and family history of gastrointestinal cancer FBC TSH iron studies results...

Essential referral information Without this information the referral will be returned General referral information Previous endoscopic procedures (date, report and histology)

Essential referral information for Hepatitis B Virus referrals Choice to be treated as a public or private patient Compensable status (e.g. ELFT, FBC results Alpha fetoprotein (AFP) results HBV, HCV...

Essential referral information Without this information the referral will be returned General referral information Patient and family history of bowel cancer Previous endoscopic procedures (date...

Essential referral information Without this information the referral will be rejected General referral information Details of relevant signs and symptoms Details of all treatments offered and efficacy...

Essential referral information Without this information the referral will be rejected General referral information Relevant medical history, co-morbidities (including depression and anxiety) and...

Essential referral information Without this information the referral will be returned General referral information Coeliac serology (TTG & EMA) results NB If patients are on a gluten-free diet, advise...

Essential referral information Without this information the referral will be returned General referral information Relevant medical history, co-morbidities and medications (and assessment of adherence...