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Referrers

Thank you for your interest in joining our humanitarian telemedicine network. Please note that we will need to verify your credentials to complete registration. Our service is entirely voluntary & not-for-profit. Our system is not intended for emergency cases.

Telemedical Link Registration

Select *
Full Name *

This individual will be the primary contact & responsible for maintaining usage of the telemedicine link

Email Address *
Phone *

Country

(###)

###

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Health Institution/Organization *
Location of Hospital/Clinic/Practice *

Postal Address, including Country, of hospital/clinic/organization

Type of Hospital/Clinic/Practice *
Public
Private
How many doctors, nurses, and other trained medical staff are there? *
How many beds do you have?
What Specialist services available on site? *
What type of diagnostic equipment is available? *
What is the availability of up-to-date drugs? *
Do you always have access to a pulse oximeter in your Operating Theatre or recovery setting? *

We work with Lifebox Foundation, an NGO that supports safer surgery through the provision of environment appropriate pulse oximeters and training. (www.lifebox.org) Please indicate if you would be interested to receive more information on accessing pulse oximetry and education materials for your facility.

What arrangements are made for the treatment of those patients who are unable to pay? *
Do you agree to provide followup regarding the outcome of each case referred? *
Yes
Website
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For additional information about us contact us or call us on 01227 721001.

Contact Details

01227 721001

info@swinfentrust.org

The Swinfen Charitable Trust,
Freepost Nat 18663,
Canterbury,
CT3 1BR

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