№ files_lp_3_process_7_101904
Standardised medical referral form for general practitioners documenting urgent suspected cancer referrals for children and young people in accordance with NICE NG12 and CMCA pathways.
Year: 2025
Region: CMCA
Subject: Suspected childhood cancers referral
Document type: Medical referral form
Issuing body: CMCA
Guidance referenced: NICE NG12
Related guidance: Urgent Suspected Cancer Pathways for Children and Young People
Referral categories: Immediate; Very Urgent (48 hours); Urgent (2 weeks)
Target population: Children and Young People
Referrer: General Practitioner
Clinical fields included: Patient details; Referrer details; Referral information; Symptoms; Examination findings; Investigations; Cultural and mobility requirements; Clinical history
Cancer types listed: Abdominal Tumour; Leukaemia; Lymphoma; Bone Tumour; Soft Tissue Sarcoma; Retinoblastoma; Brain or spinal tumour; Skin Cancer; Breast; Thyroid
Mandatory section: Patient engagement confirmation
Contact instruction: Immediate telephone referral for suspected leukaemia to on call AHCH oncologist
Price: 8 / 10 USD
The file will be delivered to the email address provided at checkout within 12 hours.

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