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NHS Pan Birmingham Cancer Network

  • Referral forms for psychological support

  • Birmingham psychological support services

    Attached is the from to be used when referring patients for psychological support with a clinical psychologist within Birmingham.  

    Click on the blue writing to the right, and the form will open in word format. Referrals should preferably be emailed to cancerpsychology.birmingham@nhs.net. 

    Use the pdf if you prefer to print and fax the referral (details are on the form).

    referralform.dot.dot
    psychology_referral_f.pdf