FOR REFERRAL WITHIN THE GLOUCESTER PBC GP's ONLY

This Service is being trialled from 1st December 2009 for those practices that do not offer mirena coils and / or endometrial biopsies within Gloucester City.

For patients over 40 years old, please do a Full Blood Count (FBC) before referring.

Please complete the form below and telephone Hucclecote Surgery to organise an appointment and then fax to Hucclecote Surgery.

• userfiles/docstore/MDS_Referral_Form.doc