Here is the latest form from CHC as a Word Document to be completed. They do not have a website to upload this from so please tell me if they change it
When referring a patient into the IPU a form will need to be completed and returned to St Barnabas inpatient unit. Use fax (number on the form), secure email at firstname.lastname@example.org, or by uploading to SystmOne and tasking ‘IPU referrals’ to notify the team of the referral. If the form is uploaded to SystmOne, please ensure a share is in place so it can be accessed by the hospice.