Submit MDT case

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28-Sep-2007

Welcome to the St George's Hospital Gynaecological Oncology Web site.

You can submit an MDT case here

Important numbers

Mr Barton's Office - Ext 0188
Mr Ind's Office - Ext 0332
Rocky Falzon - Ext 0874, bleep 7742, e-mail rocky.falzon@stgeorges.nhs.uk

Submission of cases

Patients details completed in this form will not be stored but will be e-mailed to the NHS e-mail address of the St George's MDT co-ordinator (Rocky Falson). Only patients submitted by network doctors will be discussed unless there is a prior arrangement with Mr Barton or Mr Ind. It is secure to e-mail from one NHS computer to another. Please do not e-mail using the below form from outside an NHS computer.

Form

Date:

Person submitting information:

Patient initials:

Patient DOB:

Patient Hospital:

Hospital Number:

New case (first time discussed):

Case type:

Case type 2:

Diagnosis date:

Original Stage:

Original Substage:

Histological type:

Comment:

This site was last updated 15-Nov-2006