Referral Form

If you are interested in attending The HELP Hampshire Stroke Clinic please complete the form below and send back via post or drop at The University of Winchester's Main Reception.

The referral form must be signed by your General Practitioner before we can consider your request to be on the programme. 

Postal Details

 

Dr James Faulkner, HELP Hampshire Stroke Clinic

 

University of Winchester, Sparkford Road

Winchester, Hampshire SO22 4NR

For any guidance or queries regarding the referral form, please email to enquiries@helphampshire.co.uk and we will be in touch.

Contact Information:

University of Winchester, Sparkford Road

Winchester, Hampshire S022 4NR

 

Phone:44 (0)1962 624932

 

Email: enquiries@helphampshire.co.uk