Referral Query Form - Forest Health Group

Referral Query

Please complete the form below to place a query regarding a referral which has already been made by the practice.

We aim to respond to all queries within 5 working days.

Please be advised that if you have already received your referral number, you will need to contact the service provider you have been referred to. You can do this by contacting the hospital directly with the following details:

Frimley Park Hospital: 0300 613 4201

Heatherwood & Wexham Park Hospital: 0300 614 7919

King Edward VII (including Parapet): 0300 614 6299

Royal Berkshire Hospital: 0345 608 8888

Ashford & St.Peters Hospital: 01784 884 351 / 01932 872 000

Patients Details

Full Name

Date of Birth

Postcode

Referral Details

Department or service referred to

Member of the practice team that placed the referral

Approximate date the referral was made

Details of Query

Query

Declaration

This form is for queries regarding routine referrals only it cannot be used to request a new referral, please check this box to confirm that this is understood.

Referral Query

Patients Details

Referral Details

Details of Query

Thank you for your feedback.