Please complete all of the areas on the form and email to [email protected]
Obstetric Brachial Plexus Referral Form (1MB msword)
Named consultant
Obstetric Brachial Plexus Palsy Unit, Plastic and Reconstructive Surgery Department
Clarendon Wing, Ä¢¹½tvÊÓƵ General Infirmary
Great George Street
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LS1 3EX