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.
Hospice at Home
Whittington
- Forms can be faxed to 01543 434560
- Forms can be emailed to stgilesclinical@nhs.net
Walsall
- Forms can be faxed to 01922 602 525
- Forms can be emailed to stgiles.walsallipu@nhs.net
Community Team
- Pan-Birmingham Referral Form
- Forms can be faxed to 01543 434 560
- Forms can be emailed to: stgilesclinical@nhs.net
In Patient Care
- Pre-Admission Referral Form
- Forms can be faxed to 01543 434 560
- Forms can be emailed to: stgilesclinical@nhs.net
N.B. If the patient is unknown to St Giles please use the Pan-Birmingham Form as well as the Pre-Admission Form.
Day Hospice
- Pan-Birmingham Referral Form
- Forms can be faxed to 01543 434 531
- Forms can be emailed to: stgilesclinical@nhs.net
Lymphoedema Clinic
- Lymphoedema Clinic Referral Form
- Forms can be faxed to 01543 433 346
- Forms can be emailed to: stgilesclinical@nhs.net
Women’s Cancer Support Service
- Cancer Support Service Referral Form
- Forms can be faxed to 01543 434 560
- Forms can be emailed to: stgilesclinical@nhs.net