This form is to be used for adult general fractures and soft tissue injuries suitable for the Virtual Fracture Clinic inline with the Acute A&E Orthopaedic Guidelines

If your referral relates to a Hand and Wrist Injury please complete the Virtual Hand and Wrist Fracture Clinic referral form on bamboo

Please note, we DO not accept referrals for:

• Spinal injuries including soft tissue/whiplash injuries
• Children under 16 – refer to Paediatric Virtual Fracture Clinic via Panda
• Open fractures - refer to orthopaedic registrar on-call
• Dislocated total hip replacements- refer to orthopaedic registrar on-call
• Post-operative conditions
• Wounds or foreign bodies – refer to orthopaedic registrar on-call

If the referral does not fit our criteria it may be declined and returned to you via email

Further guidance on the Orthopaedic pathways can be found by clicking here.

If you are unable to submit this referral for any reason please email us on uhsussex.fracturecare@nhs.net and we will process the referral