leicestershirediabetes.org.uk

Professional

Diabetes "Super 7 " Specialist Service Referral Form

(24th March 2015)
 

For patients requiring secondary care delivered at the University Hospitals of Leicester please use the form below.

 

Referral form 


 


Referrals that can be requested for patients include:
 

 

For more information and advice contact


Diabetes Outpatient Department (former ward 4)
Leicester General Hospital 
Gwendolen Road 
Leicester LE5 4PW

Documents

Diabetes Super 7 Specialist Service Referral Form Sept 2016 (WRD 65KB) [V3]

Please download complete and use to refer to the specialist diabetes service.  Download Document

Diabetes Super 7 Specialist Service Referral Form (PDF 65KB) [V3] Sept 2016

Please download complete and use to refer to the specialist diabetes service.  Download Document