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Referrals and useful information

Here you can find referral forms, information about clinical thresholds, DXS Point of Care and pathways/briefings that have been shared with practices along with other useful related information.

Referral Form Library

This referral form library has been collated from those forms currently in use by practices.

The library contains forms that are compatible with EMIS Web and historic documents (pre-May 2015) for SystmOne.

Can't find what you're looking for?
Try looking at DXS Point of Care, which will direct you to the correct pathway and referral form.


Once you have located your form, save it to your PC. It will be either a .DOC (Word) or .EWDT (EMIS Web Document Template). Navigate to the ‘Templates’ section of EMIS Web and use the ‘Import’ button on the ribbon to select the downloaded file.

.EWDT files will already have the merge fields inserted by the ‘Clinical Systems Support Team’.

TPP SystmOne

From May 2015: SystmOne referral forms and ‘Advice Letter Listing’ (A.L.L.) letters are now being published directly into your clinical system; they will no-longer be added to this website. Each time the ‘Clinical Systems Support Team’ (CSST) are supplied with form updates, the published forms will be amended and then be available for use within minutes. This means that if you use the published documents you will not have to maintain these documents yourselves and updates will be seamlessly available. ‘Trust Contacts’ will be added for each referral so that surgeries can make effective use of the ‘Referral Wizard’.

The CSST will always create forms in best-practice format. This means referral forms to be sent via secure email will always be published with the data source type ‘Referral’ so they can be used correctly with the Referrals node. A.L.L. and ’e-Referral Service’ forms will be published with the data source type ‘None’ so they can be used within the ‘Communications & Letters’ node and then attached to eRS ‘Referral’ in the Referral node. Where surgeries choose to use non-standard ways of working (i.e. Creating eRS referral documents within the ‘Communications & Letters’ node) they will need to continue to maintain each document themselves and will not be able to make use of the forms published by the CSST.

Prior to May 2015: Forms for SystmOne were available either as .DOC (Word documents) or .XML (SystmOne Word Letter Templates). Right-click and save to your PC.
Within SystmOne navigate to: ‘Setup’ > ‘Referrals & Letters’ > ‘Word Letter Templates’.
For .DOC, use the ‘New Template’ button; for .XML, use the ‘Import Templates’ button.
Select the saved file from your PC.

.XML files will already have the merge fields inserted by the ‘Clinical Systems Support Team’.


If you have any queries please do not hesitate to contact us:

Clinical Systems Support Team


Useful links

Ipswich & East Suffolk Musculoskeletal Services

Mental Health services for Young People in Suffolk
Referrals and consent form new process from 1 July 2013

Public Health commissioned services referral forms

Please note that all links open in a new window.

Useful documents

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