Download Tapping House referral forms below

Hospice Services- Professional Referral Form (IPU/HAH)

This referral form is for professionals referring to our Inpatient Unit & Hospice at Home. Please note we can only accept referrals form medical professionals for these services.

The form only needs to be completed and submitted once. Please email the completed form to tappinghouse.hospice@nhs.net, It will be reviewed and shared with the appropriate services listed within the form.

Download Professional Referral Form

Outpatient Hospice Services Referral Form

If you are referring yourself, or if you are a family member or friend making a referral on someone’s behalf, please use this form to access our services. If you are a professional wanting to refer to our Outpatient service please use the below form.

The form only needs to be completed and submitted once. Please email the completed form to clinical.admin@tappinghouse.org.uk.

Download Self-Referral Form

Or alternatively, use our online form by clicking here.

Online Referral Form