If you would like to talk to someone about accessing our services please contact our information and advice service on 0300 330 9410 or advice@stgileshospice.com
If you are a healthcare professional who would like to refer a patient to us use the relevant form below.
PLEASE NOTE: St Giles Hospice no longer receive nor send faxes.
Community Team
- St Giles Hospice Referral Form
- Forms can be emailed to: stgilesclinical@nhs.net
Inpatient Care (Whittington)
- If patient is UNKNOWN to St Giles Hospice use – St Giles Hospice Referral Form
- If patient is KNOWN to St Giles Hospice use – St Giles Hospice Referral Form
- Forms can be emailed to: stgilesclinical@nhs.net
Hospice at Home
- Hospice at Home Referral Form
- If you are referring a patient who lives in Staffordshire for personal care visits, please complete this Transfer of Care (TOC) form (you do not need to complete the above Referral Form)
- Forms can be emailed to stg.hospiceathome@nhs.net
Hospice at Home Enhanced Respite Service
- Enhanced Respite Referral Form
- Forms can be emailed to stg.hospiceathome@nhs.net
Women’s Cancer Support Service
- Cancer Support Service Referral Form
- Forms can be emailed to: stgiles.wcss@nhs.net
Lymphoedema Clinic
- Lymphoedema Clinic Referral Form
- Forms can be emailed to: stg.lymphoedemaclinic@nhs.net