MS Word referral forms

Urgent care centres, out-of-hours primary care providers and hospital clinicians are advised to use the MSWord version of the pan-London forms to refer patients with suspected cancer.  The suspected head and neck cancer referral form should be used by dentists in London.

When referring a patient, a copy should also be sent to the patient’s GP.

Once the new forms have been installed please deactivate and remove all old versions. If you are using an older version of Internet Explorer, you may have problems downloading the forms. Please try using another web browser i.e. Google Chrome, if the problem persists please email

Use the links below to download the MS word referral forms.