Telehealth Referral Form

*Please note this Referral Form is for the use of health professionals only

Telehealth Referral Form

The patient has been provided with an information leaflet which describes the service and details how Hywel Dda University Health Board collects, uses, retains and discloses personal information. The patient understands that their data will be used for the purpose of monitoring their readings and understanding their longer term health.