№ lp_1_2_10892
Standardized referral form used within the NHS to collect patient, clinical, and equipment information for assessment and provision of wheelchair services in North East London.
Organization: NHS North East London Integrated Care Board
Service Provider: AJM Healthcare
Document Type: Referral form
Sector: Healthcare
Region: North East London
Target Audience: General practitioners
Subject: Wheelchair service referral
Patient Group: Adults and children
Contact Telephone: 0808 169 1040
Submission Method: Email
Email Address: [email protected]
Postal Address: Unit 18, The IO Centre, 59–71 River Road, Barking IG11 0DR
Governing System: NHS
Eligibility Reference: Wheelchair Service eligibility criteria
Administrative Notes: Form must be fully completed to be processed
Price: 8 / 10 USD
The file will be delivered to the email address provided at checkout within 12 hours.

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