Online Health Professional Referral Form

This form can be used by health professionals to refer patients who are:
- registered with a Croydon GP or GP at Hand, or
- Health and Social care professionals (registered with any GP).

Patient Details

GP Details

We will not be able to accept or process your referral if the service user is not registered with a Croydon GP. (We do accept referrals for Health and Social care workers who are not registered with a Croydon GP)

Demographic Information

Referral Information - Risk

We cannot monitor risk until the client is seen, so please monitor until then. If there is active risk please refer to SPA team or A&E.

Referral Information - Mental Health

Referral Information - Access

Referrer Details