Emis referral forms

GPs in all CCGs in the London area are advised to use these forms when referring patients with a suspected cancer as they contain the updated guidelines from NICE published in 2015 (NG12) as well as additional tumour specific referral criteria and deviations which have been agreed for the London area. 

New electronic referral forms are available for EmisWeb, SystmOne (Integrated, Non-integrated), Vision and DXS. Once the new forms have been installed please deactivate and remove all old versions. 

If you are using an older version of Internet Explorer, you may have problems downloading the forms.  Please try using another web browser i.e. Google Chrome. If the problem persists please email secsu.tcstlondon@nhs.net

Download ALL forms as a compressed (ZIP) folder

Download the installation guide

Use the links below to download each EmisWeb suspected cancer referral form separately.