
Within each Health Board Lymphoedema Service there is a designated Children and Young People’s (CYP) clinician, supported by our National CYP Team (a Clinical Lead and a Lymphoedema Specialist). Co-production and patient-centred care is central to our approach to treatment and the expert advice we give to patients and their families.

What do we do?

Help with completing your referral formThe referral form is provided in PDF format and contains editable fields, allowing you to type information and select tick boxes electronically.
Desktop computers or LaptopsPlease save a copy of the form to your device before completing it. Close and reopen the file from its saved location, then open it in Adobe Acrobat Reader, as some features are not supported in web browsers.
To complete the form, you may first need to enable Form Filling mode in your PDF viewer.
If you are using a desktop computer or laptop with Adobe Acrobat installed, you should see a button on the toolbar labelled "Fill in form fields" (highlighted in blue below).
Select this option to activate the editable fields and begin completing the form.

Mobile DevicesIf you are using a mobile device, please save a copy of the form to your device before completing it.
You may need to enable Form Filling mode to enter information into the form.
To do this, tap the three dots menu and select "Form Filling". Once enabled, you will be able to complete the form on your device.
Where do I send my form?
Children & Young People Referrals:
Your completed form should be sent to Lymphoedema Wales Clinical Network by email to: LymphoedemaNetworkWales@wales.nhs.uk
Once we've received the referral, we'll get in touch with the patient to arrange an appointment at the clinic closest to them.
Please note: Appointments are offered at a range of clinic locations across Wales. We will make every effort to arrange your appointment at the clinic closest to your home, subject to availability.
Our Lymphoedema Wales self referral forms are available to download by clicking the links below: