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

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