Referrers

Leaflet for referrers to hand to patients

Click here to download the Neurospark leaflet

Referral form

Click here to download the Neurospark Referral Form

Please help us to help you by providing:

A clear referral question

Full contact details for the patient including:

• Name
• Date of birth
• Address
• Contact number and email if available
• CHI Number (if available)
• Mode of payment: Self / Insured
• A brief clinical history and examination findings
• Medication history if felt important e.g. malignancy and prior surgery / chemo / radiotherapy
• Relevant investigation findings e.g. MRI c-spine, prior neurophysiology findings
• Relevant information e.g. hip arthroplasty 6 weeks ago, previous CTS decompression, needle phobia, severe learning disability etc

Please also help us by stating which side is affected. Should you wish to ask a specific question or wish clarification regarding a report please contact us on secretary@neurospark.co.uk and we will endeavour to respond as soon as we can. Sending a referral – we strongly advise you to encrypt any sensitive information sent by email. We use Egress for email communication.

Postal referrals can be sent by registered post to this address:

Dr Fahad Shaikh (Private referral) C/O OPD 15 2nd Floor DCN & RHYCP Building 50 Little France Crescent Royal Infirmary Edinburgh Edinburgh EH16 4TJ

Solicitors/Agencies

Please contact us for a fee quote.