Get the free faxto:01626883772/oremailto:d-ccg

Cataract×Referral (Exceptional×circumstances)fax×to: 01626×883772 / or×email×to: DCC.drssophthalmology×NHS.outpatients×Address:Date×of referral:Title:Forenames:Surname:Date×of Birth:Email×Address:Home×Tel:Referring×Ophthalmic×Practitioners×DetailsPractitioners×Name:Practice×Address:Postcode:NHS×Number (if×known):Work/Mobile×Tel:Patients×Cure

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