Referral forms

To make a referral to Springhill Hospice please select the service you require below:

In-Patient Referral Form

SPCT / Hospice at Home / Night Sit Referral Form

Bereavement Service Referral Form

Counselling Service Referral Form

Day Therapies CARERS Referral Form

Day Therapies PATIENTS Referral Form

All referral forms must be completed by a healthcare professional and sent to nehgm.liaison@nhs.net