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Referral Guidelines

Colorectal Referral Form

Endoscopy Unit: Request for PEG Insertion

Gastroenterology Referral Form

Gastroscopy Referral Form

All GP referrals should be made via eRS.

Form for adults who are unable to consent to investigation or treatment
(Consent form 4)

PEG Referrals

When referring for PEG placement, PEG change, or PEG removal kindly send a referral to the Gastroenterology department including the following information to ensure a timely and effective appointment can be made:

Further clinical advice

We are happy to give clinical advice by telephone via our secretaries or the hotline 0779 0549572 or for advice by email please contact us at The inbox is checked on a daily basis by the departmental secretaries and enquiries distributed as appropriate.

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