EXOGEN Ultrasound Bone Healing System PA Application Form

msword File
Filename: EXOGEN-ULTRASOUND-APPLICATION-FORM.DOC
File type: DOC
File size: 87 KB

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.