HCC Super Specialty Clinic Referral Forms

Please find below links to the Super-Specialty Clinic Referral Forms. We have created a Referrer’s Guide” to ensure aid referring clinicians. Please complete the referral form, including all the relevant investigations and submit to KCH-tr.SELSEHCC@nhs.net. Please ensure any imaging for review has been IEP’d to the relevant trust.

HCC Referral – Sickle Liver Clinic

Download the referral document HCC-Referral-Liver

HCC Referral – Sickle Neuro Clinic

Download the referral document HCC-Referral-Neuro

HCC Referral – Sickle Obstetric Clinic

Download the referral document HCC-Referral-Obstetric

HCC Referral – Sickle Pain Clinic

Download the referral document HCC-Referral-Pain

HCC Referral – Sickle Pulmonary Hypertension Clinic

Download the referral document HCC-Referral-PHTN

HCC Referral – Sickle Renal Clinic

Download the referral document HCC-Referral-Renal

HCC Referral – Sickle Respiratory Clinic

Download the referral document HCC-Referral-Respiratory

HCC Referral – Sickle Hip Clinic

Download the referral document Referral Sickle Hip

HCC Referral – Sickle Urology Clinic

Download the referral document Hcc-Referral-Urology