GP and External Referrers | Contact Forms


  • For GP’s within Leicestershire direct referral for suspected cancers can be undertaken via the HPB-specific 2WW form. If these are not available at your surgery please contact GP services.
  • We also offer a “Choose and Book” advice clinic for patients and we aim to respond to these within 48 hours. This can be found under “advice and guidance” in the “choose and book” template.
  • For GPs within the East Midlands we are happy to accept direct referrals for cancer treatment, but please consider that many of these patients will be managed initially by your local secondary provider.
  • Please print out the form below and fax to 0116 258 4708 for HPB cancer referrals.
  • HPB Referral Forms – Download Now 
  • We provide a limited ERCP service to centres with whom we regularly take HPB cancer referrals. Please fill in and fax the form below to this number 0116 258 4708.
  • ERCP Proforma Referral Forms – Download Now 
Please Note :
“This service is provided purely for external health authorities, independent referrers or clinicians. Patients due to commence or undergoing treatment at Leicester must contact their Key Worker or GP for any queries.”