MAKE A REFERRAL TO GEORGE HOUSE TRUST | George House Trust
MAKE A REFERRAL TO GEORGE HOUSE TRUST

MAKE A REFERRAL TO GEORGE HOUSE TRUST

If you are a healthcare professional making a referral with your patient's consent, please complete the form.  The referral process is encrypted and secure.   We will contact the patient within three working days of receiving the request.

 

 

The Referrer

 

 

Start typing your organisation's name and select from the list. Select 'create new' if your organisation is not listed.

 

 

Only enter your organisation name here if it is not available from the above list and you have selected 'create new'
Service User
Please provide the following details for your service user to refer them to George House Trust
Was the diagnosis made within the last 12 months?

 

 

Living with HIV? Want to talk to us?
Call 0161 274 4499 or email: talk@ght.org.uk