Referral forms

Various King's specialties require you to complete specific referral forms to accompany the referral documentation that you email to us. We have collated the latest versions of these forms here, for your convenience.

They can also be downloaded from the referral information section of the relevant department in the services directory.

To refer patients with suspected cancer, use the South East London Cancer Network (SELCN) tumour type two week wait referral forms.

For more details and advice, read our guidelines on referring patients to King's.

• 12 lead ECG referral form
• 24HR BP monitor referral form
• 24HR ECG monitor referral form
• Antenatal referral form
• Betty Alexander Suite Infusion/Transfusion referral form
• Breast cancer screening referral form
• Breast metastases referral form
• Children with suspected cancer referral form
• Colposcopy referral form
• Dental referral form
• Diabetes rapid access referral form
• Diabetic Endocrine Complication Screening referral form
• Emergency Neurology Referral Form
• Exercise tolerance test (ETT) referral form
• Frank Cooksey Rehabilitation Unit Referral Form
• Gynaecology Urgent Suspected Cancer Pathway referral form
• Hand Therapy Referral Form
• Hepatic metastases referral form
• Hepatocellular Carcinoma (HCC) referral form
• HPB and Pancreatic referral form
• Lambeth & Southwark early arthritis referral form
• Lambeth and Southwark TIA referral form
• Lambeth MCATS referral form - peripheral
• Lambeth MCATS referral form - spinal
• Lung Function Testing referral form
• Musculoskeletal (MSK) physiotherapy referral form
• Neuro-oncology referral form
• Nuclear Medicine referral form
• One-Stop General Gynaecology Clinic referral form
• Oral surgery referral form
• Oral surgery service - information for referrers
• Pulmonary Rehabilitation Referral Form
• Rapid Access Chest Pain Clinic Referral Form
• Referral Checklist and Management Guidelines for Kidney Disease
• Respiratory Physiotherapy Referral Form
• Restorative Dentistry referral form
• Sexual health service referral form
• Skull Base referral form
• South East London Cancer Network Palliative Care referral form
• Southwark MCATS Referral form - peripheral
• Southwark MCATS Referral form - spinal
• Termination of Pregnancy referral form
• Thyroid Urgent Suspected Cancer referral form