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.

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
• Advanced Chronic Liver Disease MDM referral form
• Antenatal referral form for GPs
• Cardiac diagnostics - Event Recorder referral form
• Cardiac Rhythm Management (CRM) and Device clinic referral form
• Colposcopy referral form - King's College Hospital
• Complications of Excess Weight (CEW) Clinic referral form
• Dental - Guidance Notes for Paediatric Referrals
• Dental - South East London Oral Surgery Single Point of Access Referral Guide
• Dental Referral Form - Oral and Maxillofacial Surgery
• Dental Referral Form - Oral Medicine
• Dental Referral Form - Paediatric Dentistry
• Dental Referral Form - Restorative Dentistry
• Dental Referral Form - Special Care Dentistry
• Diabetes Psychiatry and Psychology Service referral form
• Diagnostic Community Spirometry referral form
• Dietetic-led IBS clinic referral form
• Early Pregnancy Unit (EPU) referral form - King's College Hospital
• Early pregnancy unit (EPU) referral form - Princess Royal University Hospital (PRUH)
• Echocardiography- Open Access form
• EEG referral form
• Electromyography and Nerve Conduction referral form
• Emergency Neurology Referral Form
• Exercise tolerance test (ETT) referral form
• Frank Cooksey Rehabilitation Unit (FCRU) Service Specification and Admissions Guide
• Frank Cooksey Rehabilitation Unit Referral Form - Orpington Hospital
• Guidance notes for Special Care Dentistry Referrals
• Hand Therapy Referral Form
• HCC MDM referral form
• Headache referral form
• HIV positive patient referral form
• HPB MDM referral form
• Integrated Respiratory Team - referral form
• Inter Healthcare Patient Transfer Form: Infection Prevention & Control Patient Risk Assessment
• Kidney disease management guidelines and referral checklist
• Kidney disease management guidelines and referral checklist - PRUH
• King's College Hospital antenatal self-referral form
• King's Older Persons' Assessment Unit - Single referral form
• King's Older Persons' Assessment Unit infusion-transfusion referral form
• Lambeth and Southwark early arthritis referral form
• Lambeth and Southwark TIA referral form
• MCATS and MSK referral form - Lambeth
• MCATS referral form - Southwark
• Metastatic Cord Compression (MSCC) referral form - Neuro
• Musculoskeletal (MSK) physiotherapy referral form
• Neonatal conjugated jaundice referral form
• Neonatal conjugated jaundice referral pathway
• Nephrology and CKD services referral form
• NET MDM referral form
• Neuro-oncology referral form
• Neurosurgery Spinal Fracture Outpatient Request Form
• Neurosurgery Spinal MDT referral form
• Neurovascular Surgery MDT Referral form
• Nuclear Medicine Referral Form
• One-Stop General Gynaecology Clinic referral form - KCH
• Ophthalmology Rapid Eye Service referral form
• Paediatric HPBOnc referral form
• Paediatric Liver referral form
• Pan-London All Age Specialist Palliative Care Referral Form
• PET-CT referral form
• Princess Royal University Hospital (PRUH) antenatal self-referral form
• Radiology Request Form GP
• Radiology Request Form SLaM
• Rapid Access Chest Pain Clinic Referral Form
• Referrals into King’s Rapid Eye Service - KCH
• Respiratory Physiotherapy referral form
• Restorative Dentistry referrals acceptance criteria
• SEL Post-COVID Syndrome Referral Form
• Sexual health service - referral form for GPs
• Skull Base Surgery referral form - King's Collge Hospital
• Stroke and TIA referral form - PRUH
• Termination of Pregnancy referral form
• Tongue-tie Service referral form
• Virtual Fracture Clinic Referral Form