Refer a patient to the electrophysiology service

Please note this information is for clinicians only.

A referral can only be accepted by the Electrophysiology Service at GOSH from a clinician.

This is for non-urgent cases.

Our referral criteria are:

• Patients aged 0 to 17 years
• Primary concern of a heart rhythm disturbance
• Known or proven arrhythmia such as broad complex tachycardia and heart blocks or other ECG variants.
• Collapse of unknown cause, with no family history of arrhythmia.
• Patients with SVT should be directed to paediatricians with an expertise or a local outreach clinic.

A referral can take the form of the following:

• Referral letter—please include as a minimum a 12 lead ECG and send to gos-tr.referrals@nhs.net with the subject as: Electrophysiology Referral 
• Download and complete our referral form -referral Letter Proforma for the Electrophysiology Service.docx