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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.
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