Clinical Referrals (for GP and Specialist use only)


Please note that we are unable to receive clinical referrals directly via EDI. Please use the form below, email us at admin@canopycancercare.co.nz, fax us on (09) 638 7295 or send via the Healthlink or Specialists & Referrals portals.



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Patient referral form

 

 

 

 

Maximum file size 5MB. File extensions: jpg, gif, jpeg, png, pdf, doc, docx, zip.




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