Service user events

Unfortunately our email address for our referrals is currently down – As a temporary measure please send all referrals to inpatient.team@nhs.net. If you have recently sent a referral and would like to check we have received it please contact our clinical admin team on 01254 965864. We will update once our referrals email is back up and running. Thank you.

Personal information

Title

First name

Last name

Company

Address

Apt, suite, etc.

City

Country

County/State

Postcode/ZIP code

Phone

Mobile

Event details

Title

Date of event

Address

Apt, suite, etc.

City

County/State

Postcode/ZIP code

Details about the event

What is your reason for holding this event?

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I confirm that I have read and accept the privacy policy. Your details will be held in the East Lancashire Hospice database and will not be sent on to any third parties.