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Cancer referrals

Important notice

Birmingham and Solihull GP practices
Please use the referral forms within your EMIS and TPP clinical systems, as they will have the merge fields for auto populating. 

If you are unable to locate the forms, you can log a call via the Chatbot (a shortcut will be on your commissioning support unit (CSU) issued computer/laptop) or you can use the self-service portal.

All other UK GP practices

GP referral forms for the Cancer Services departments at University Hospitals Birmingham NHS Foundation Trust (UHB) are available to download in the downloads section below.

Two week wait

All suspected cancer two week wait services are available via the NHS e-Referral Service (e-RS).

To avoid any delays to patient care, please ensure the correct two week wait form and service is selected and sent via the e-RS. Referrals sent outside of the e-RS will not be accepted.

Please contact the e-RS team if you have any questions on the two week wait services available on e-RS.

Brain service

UHB do not offer a two week wait brain service. Patients will need a scan to access the service. GPs can request a scan by completing the brain cancer direct access to MRI referral form.

If there is no tumour following the scan a routine referral to the patient’s local neurology service should be completed.

If a scan has taken place within the last six weeks that shows a tumor or possible tumor, GPs will need to complete a neuro-oncology referral form. If the scan was not completed within the last six weeks a scan must be requested using the brain cancer direct access to MRI referral form.

More on this

See also

Downloads

docxBreast cancer (female) referral form (0.07 MB)

docxBreast cancer (male) referral form (0.05 MB)

docxColorectal cancer referral form (0.21 MB)

docxFaecal Immunochemical Test (FIT) referral form for patients who do not have rectal bleeding/changes in bowel habits (0.04 MB)

docxFaecal Immunochemical Test (FIT) Request Form (0.08 MB)

docxGynaecological cancer referral form (0.06 MB)

docHead and neck cancer referral form (0.25 MB)

docxHaematology cancer referral from (0.05 MB)

docIron deficiency anaemia (IDA) referral form (0.08 MB)

docxLung cancer referral form (0.04 MB)

pdfNeuro-Oncology MDT Referral Proforma

docxNon-specific symptom referral form (0.07 MB)

docSarcoma referral form (0.05 MB)

docxSkin cancer referral form (0.06 MB)

docUpper gastrointestinal (GI) cancer referral form (0.15 MB)

docxUrology cancer referral form (0.04 MB)

docxUrological cancers FAQs for urgent referrals (0.03 MB)

Last reviewed: 22 January 2025