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Before you begin

When to use this form

Read the Essex Coroner’s Service information on Making a Coroner referral.

Who can use this form?

  • General physicians
  • Hospice doctors

This Referral Form has been amended following feedback received from service users.

Information and documents needed to complete your referral

  • your General Medical Council (GMC) number to hand
  • all of the deceased’s details including copies of:
    • the death certificate, if available
    • supporting documents such as additional medical notes eg recent operations, procedures or hospital admission / discharge notes must be uploaded with your referral

How long will it take?

You will need between 10 and 15 minutes to complete. You can also save a partially completed form. A link will be sent to your email address and you can use this to go back to your saved form.

What happens next?

A summary of the completed form will be sent to the email address you provide in a confirmation email after submission. Our Coroner’s team will be in contact within 5 working days to advise you of the next steps.

What happens to my information?

Essex County Council are collecting your personal information in order to respond to you with further information about Essex Coroner’s Service. This information will not be shared with any other third party unless the law requires us to do so. To find out more about the type of information we hold and why we may need to share information please read our privacy policy.

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