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Refer to SOHAS

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Use this form to refer a patient to the Sheffield Occupational Health Advisory Service.

For further information about us, take a look at the SOHAS section.

If you would like to make an appointment to see our advisers via telephone, then use this list of SOHAS advisers in GP surgeries to find the one nearest to you.

(Required)
The name of the patient being referred.
(Required)
Postal address most appropriate for contact with the patient.
Day-time telephone number for the patient.
E-mail address for contact with the patient. (This will never be distributed outside of the organisation.)
Patient's date of birth. (dd/mm/yyyy)
//
The name of the patient's GP.
The name of the patient's GP practice.
(Required)
Does the patient require an appointment to be made?
Yes  No
(Required)
Has the patient requested any information to be sent to them. (Please detail in the 'Notes' field.)
Yes  No
(Required)
Has the patient given their consent to be contacted by the provided telephone number?
Yes  No
Are any extra details necessary for the referral?

After pressing "submit" this information will be sent to SOHAS. All the details will be treated as strictly confidential.

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