Varicose Veins Surgery PA Application Form

vnd.openxmlformats-officedocument.wordprocessingml.document File
Filename: VARICOSE-VEIN-SURGERY-APPLICATION-FORM-BNSSG-23-24.DOCX
File type: DOCX
File size: 22 KB
Description: Request for a referral for assessment for varicose veins surgery.

Please complete this form for all patients requiring this intervention. If the patient clearly meets the criteria, please submit an application to the RSS team either at bnssg.referral.service@nhs.net or using the e-RS system including all relevant referral documents and await confirmation of funding before making a referral.

Updated 1 May 2024