The last day of operation for Hertfordshire and West Essex ICB was 31 March 2026. The information on this website has not been updated since 31 March 2026. The legacy policies, prescribing recommendations and pathways can be accessed on this website. Find out more

RAG rating
n/a
Document type
Prior approval form
Place
Hertfordshire and West Essex ICB
Output type
Clinical Policies & Evidence-based Interventions
Document
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Referral to Tier 4 Obesity Management Services (Bariatric Surgery)

Please download the application form from this page and email to the team at [email protected] 

Please note that this form is to be used by specialist Tier 3 services only  



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