Spinal Tumour Referral Service

This form may be used to refer all NON 2 WEEK WAIT Spinal Tumour patients with normal neurology.   We will accept referrals from other hospitals as well as GPs. This form can also be used to request a spinal biopsy or MDT opinion.

Patients with abnormal neurology must be referred using the online MSCC referral form and discussed with the on-call spinal surgical team (contact us).

Please send all imaging via IEP to the Royal National Orthopaedic Hospital. We are unable to provide an opinion without appropriate imaging and in some instances, we may ask you to perform further imaging.

Your referral may not be looked at over the weekend or out of hours. Normal working hours are 8.00am-4.00pm, Monday-Friday. 

Demographics:

Patient details:

Referring Team:

Diagnosis, if applicable:
*Myeloma Subtype is required
*Light Chain Type is required
Tumor Markers if applicable:
*FISH Type is required
Radiological and Clinical:
Radiological evidence of neural compression:
Symptoms of altered neurology:
Imaging Completed:
*Date of MRI is required
*Date of CT is required
*Date of Skeletal Survey is required
Previous Cancer Treatment / Chemotherapy / Radiotherapy:
*Date Chemotherapy commenced is required
Medical History:
Respiratory:
Other:
Drug History:
Reason for Referral / Questions for MDT

Please use this space for any other comments or to tell us about any other medical co-morbidities the patient may have and not covered above

Thank you for your referral. One of our team will contact the referrer with feedback from the team as soon as possible and within normal working hours.

If your patient develops abnormal neurology, the case must be discussed with the on-call spinal surgical team at the Royal National Orthopaedic Hospital (via the switchboard: Contact us).

You will receive an automated email confirming successful submission to the Referrer’s Email address.

Spinal surgical unit