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Scottish Sarcoma Multi-Disciplinary Team (MDT) Referral Form

Scottish Sarcoma Multi-Disciplinary Team (MDT) Referral Form. The Scottish Sarcoma MDT takes place on a Monday at 4.30pm in The Beatson, Education Suite, Room ED014, and links with sites in - Glasgow – Beatson & Western General Edinburgh – Royal Infirmary & Western General

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Scottish Sarcoma Multi-Disciplinary Team (MDT) Referral Form

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  1. Scottish Sarcoma Multi-Disciplinary Team (MDT) Referral Form • The Scottish Sarcoma MDT takes place on a Monday at 4.30pm in The Beatson, Education Suite, Room ED014, and links with sites in - • Glasgow – Beatson & Western General • Edinburgh – Royal Infirmary & Western General • Inverness – Raigmore Hospital • Aberdeen – Royal Infirmary • Dundee – Ninewells Hospital • If you wish to participate in the MDT to present your case please contact the Scottish Sarcoma MDT Coordinator for further information: 0141 232 0712 or GG-UHB.ScottishSarcomaMDT@nhs.net *Please complete patient’s name and CHI in the footer below, then slides 2-4 with Referrer’s and patient’s details* CHI = ?

  2. Referrer Details • Date of referral – • Name of Referrer – • Location of Referrer – CHI = ?

  3. Patient’s Details • Brief Patient History – • Relevant Treatment to Date – • Reason for referral to MDT – CHI = ?

  4. Any other relevant information CHI = ?

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