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If you are a healthcare professional and would like more information about referring a patient to St Cuthbert’s Hospice, please contact us on 0191 386 1170, or follow the links to download a referral form.

Please email completed forms to

If you are a patient and would like to self-refer, or you are a carer or family member and you’d like to refer a loved one, please contact us on 0191 386 1170. Depending on which service you require we may direct you to contact a GP, District Nurse, or Consultant, as appropriate for a healthcare referral.

  • In-Patient Unit Referral Form

  • Living Well Centre Referral Form

  • Dementia Services Referral Form

  • Bereavement Support Service

    Contact the team directly on 0191 386 1170 option 3.