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SUSPECTED CANCER REFERRAL FORM: BREASTDate of decisionto refer:Date referral received at Trust:Trust name(s) Email for referral Ashford and St. Peters NHS Foundation Trust Fax: 0800 9234668 Email:
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A suspected cancer referral form is a document used by healthcare professionals to refer patients to specialist services when they exhibit symptoms that may indicate cancer.
Healthcare providers, such as general practitioners, are required to file a suspected cancer referral form when they believe a patient may have cancer based on clinical assessments.
To fill out a suspected cancer referral form, healthcare professionals should provide patient details, clinical findings, symptoms, and the reason for the referral, ensuring all sections of the form are completed accurately.
The purpose of the suspected cancer referral form is to initiate timely access to diagnostic tests and specialist assessment for patients suspected to have cancer.
The information that must be reported includes patient demographics, clinical history, symptoms, and any relevant examination or investigation results that support the suspicion of cancer.
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