Referral Forms

In order to facilitate the referral process for GPs we have streamlined many of our referral forms. GPs can now download the relevant form when required and be confident that they are providing sufficient information to ensure the referral can be processed in a timely manner.


Spinal Referral

The spinal referral can be used for the following specialties involved in spinal management (Orthopaedics, Rheumatology, Pain Management and the Back Pain Screening Clinic). Click here to access the form.

Atrial Fibrillation (AF)

Referrals to the Atrial Fibrillation Clinic at TUH must include a completed AFIB referral form and be accompanied by any ECG strip or relevant report. Further details on what steps to take following diagnosis of AF can be found here 


Rapid Access Stroke Prevention (RASP) Service

An enhanced, ‘one stop’ RASP service, operates Monday to Friday for suspected TIAs.

Click here for full details and instruction on how to use this service.

Click here to download the referral form.

Click here for a patient information leaflet.

Rheumatology Clinic

Patients need a letter from their General Practitioner (G.P.) or referring doctor/health professional. The referral form has been endorsed by the ISR and ICGP and can be automatically generated directly from Helix Healthcare and Socrates GP practice software. If you do not use these software packages please click here and forward it to us together with a referral letter. This referral form is for Patients with Early Inflammatory Arthritis. 

The letter should be sent to: Rheumatology Secretary, Dept of Rheumatology, Tallaght University Hospital, Tallaght, Dublin 24. 


For patients that are living with chronic health conditions Tallaght University Hospital has developed a joint initiative with the local community facilitated via the Fettercairn Community Health Project.  The Living Well programme is a six week course is designed to help those living with a chronic disease, which can present extreme difficulties and affect multiple aspects of individual’s life such as physical health, mental health and financial status. If you have a patient that you believe would benefit from this programme please complete this referral form.


To refer a patient with acute ureteric colic please complete this form. All referrals need to be discussed with the Urology Registrar on Call who will provide you with their email address to send the referral to.

To refer a patient with acute urinary retention please complete this form All referrals need to be discussed with the Urology Registrar on Call who will provide you with their email address to send the referral to.

Integrated Community Chest Pain Clinic

The aim of this clinic is to provide an alternate referral source for you as the GP to refer a patient with chest pain/angina symptoms for Advanced Nurse Practitioner assessment as an alternative option to the ED or GP exercise stress testing. Click to access  This is a CHEST PAIN clinic only. Click to access referral criteria and submit via HealthLink. 

TUH accepts healthlink referrals to all Paediatric specialties since 2013. The Pigmented Lesion Clinic for Dermatology as part of the National Cancer Programme opened in 2015.

Adult eReferrals is currently being rolled out in the hospital and all specialties will be ‘live’ by mid-September. Access to eReferrals in TUH is operated by the Healthlink Group and they can be contacted on 01 882 5606