On 1 July 2022, NHS Bristol, North Somerset and South Gloucestershire Clinical Commissioning Group (CCG) was dissolved. The new body is NHS Bristol, North Somerset and South Gloucestershire Integrated Care Board (ICB). This website will no longer be updated. Please visit the new ICB website.
This form should be completed by GPs and other clinicians who are referring patients to General Infertility Clinics for an initial assessment.