Spinal Infection referral form

To refer a patient for a Spinal Infection Opinion, or to transfer their care to the RNOHT, please complete the online referral form. In addition you will need to forward all relevant images via IEP. A printable PDF version of the Spinal Infection referral form is also available.

We accept two types of referral:

  1. An opinion can be given based on the data provided on the referral form, and the imaging received via IEP.
  2. The patient’s care is transferred to the RNOH for treatment, including Biopsy, Surgery if required and the Antibiotic therapy program will be co-ordinated from the RNOHT.

Both types of referral will then automatically be placed on the Regional Database auditing Spinal Infections, and will be discussed at the monthly Spinal Infection MDT meetings held at the RNOHT.

After the referral has been submitted, an automated reply will confirm the referral has been received.

The referrer will be contacted by the Spinal Infection MDT co-ordinator regarding the location and availability of the images.

If a patient’s care is being transferred to the RNOHT, the patient will be contacted within 48 hours and given an appointment within two weeks from the referral date. The clinics are held weekly on Friday mornings.

If the referral is urgent/emergency, in addition please also contact Mr L Wilson or Mr R Lee’s team [Clinical Nurse Specialist Ms Clare Harman]. Out of hours contact the Consultant directly via RNOHT switchboard [02089542300]

These forms are only for tertiary referrals from other hospitals. We will not accept referrals from GPs using the online referral form below.

If you are a GP referring to the RNOH please use the NHS e-referral system, e-RS.

Referrer’s details:

Patient details:

History and Examination Findings
Antibiotic Therapy
Bloods results:
Co morbidities:
Available imaging:

Please tick box

Available via:
Area(s) of infection
Area of pain
Please tick relevant box
Any other comments:

Spinal surgical unit