Information for Professionals

How to make a referral

Download a referral form in MS Word format 

Download a Hospice at Home Direct Referral form in MS Word format

A request for assessment can be made by any professional, but must be with the GP's consent. The referral should be directed initially to the Medical Secretary, St Peter's Hospice at the address shown below. 

There is a flexible referral package available so that an appropriate assessment can be made of individual patient needs. The initial assessment visit may include any one or a combination of:

• A Hospice Community Nurse Specialist
• A Hospice Doctor
• The patient's GP
• The District Nurse
• The Lymphoedema Sister

To make a referral:

• Contact the Medical Secretary at:
  • St Peter's Hospice
    St Agnes Avenue
    Knowle
    Bristol
    BS4 2DU
• Telephone 0117 915 9225 and ask for the Medical Secretary, who will arrange for a referral form to be posted to you for completion
• Download a referral form in MS Word Format and post the referral form to the Medical Secretary at the above address -  Download a referral form in MS Word format 

If the patient is not already known to the hospice an assessment visit may be necessary by a member of the hospice team before the service is introduced.

If you would like to comment on your experience of using the service, please write to:

Mrs. Hazel Elliott
Nursing Director
St Peter's Hospice
Charlton Road
Brentry
Bristol
BS10 6NL