№ files_lp_3_process_9_45710
Structured medical form used as a source document for evaluating eligibility and supporting information for an NHS individual funding request for gynaecomastia surgery.
Year: 2026
Region / City: United Kingdom
Subject: Medical referral for plastic surgery
Document Type: NHS funding request form
Organization / Institution: NHS
Author: Referring GP
Patient Age / Date of Birth: [from form]
Patient NHS Number: [from form]
Purpose: Assessment of eligibility for surgery
Medical Measurements: Weight, Height, BMI, Chest Size
Clinical Considerations: Overweight status, drug use, glandular tissue removal, functional problems, endocrinological investigations
Submission Instructions: IFR Business Support contact details provided
Price: 8 / 10 USD
The file will be delivered to the email address provided at checkout within 12 hours.

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