LTV Regional MDT Referral Form

Access to the Virtual MDT is for paediatric LTV centres to discuss individual cases to plan ongoing treatment or discuss transfer of care where clinically appropriate.

The MTD will take place on the third Thursday of every month at 3:30 and will be planned based on request. 

We will inform people a week before a MDT takes place.

No patient identifiable information

Referrals should be sent to:

Click the image below to download the referral form. Please ensure you open the form in Adobe Acrobat. This may not work correctly if opened in a browser tab.