Referral Form for Health Organisations
Model of Care
Is your patient eligible for Dove House services?
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They must have a diagnosis of illness that is life threatening.
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They do not need to have a terminal diagnosis.
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They may be having curative treatment for their illness.(eg. surgery, chemotherapy, radiotherapy) and need support through this time.
Please complete the below form to refer your patient.
If you are a patient - please click here
All services are free of charge
If you wish to speak to someone regarding accessing the service, please call 09 575 4555.
