Sharnbrook Surgery - Referrals

What would you like to do?

I would like to request a referralI would like to track a referral

Did you book the referral through NHS e-Referral?

YesNo

Was your referral to a local hospital?

YesNo

Referral Request
Name*

First NameLast Name
Date of birth*

MonthDayYear
Date
Tel:*
Email*
example@example.com
Named GP (if know)
Who would you like a referral to?
Why do you need this referral?

NHS e-Referral Tracking

If your doctor has referred you to a specialist for further care you will be asked to book your appointment using the ‘NHS e-Referral’ system.

You will receive a letter from us within 2 weeks giving details of how to book your appointment and any passwords you may need.

To track your e-Referral you will need the following details to log into the e-Referral website:
- Your date of birth
- Reference number – this will be on the first page of your letter
- Password – this will be on the second page of your letter
Further information

Choosing from a list of hospitals or clinics
NHS e-Referral Service
Book or change your Specialist Appointment online now

The Manor Hospital

Church End, Biddenham, Bedfordshire, MK40 4AW

01234 364252

6.2 miles away

Bedford Hospital North Wing
32-34 Kimbolton Road, Bedford, Bedfordshire, MK40 2NS

01234 355122

6.6 miles away

Bedford Hospital South Wing
South Wing, Kempston Road, Bedford, Bedfordshire, MK42 9DJ

01234 355122

7.3 miles away

Track a referral
Name*

First NameLast Name
Date of birth*

DayMonthYear
Date
Tel:*
Email*
example@example.com
Who were you waiting to be referred to?
Should be Empty: