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Making an Application

View the IFR Application form

Although we welcome applications directly from patients, please consider that your application may be best coming from a clinician (GP or specialist involved in the requested treatment) as they will be more likely to know what is clinically exceptional about a patients’ case.

Read our IFR Patient's Guide

Read our IFR Clinician's Guide

We also encourage patients to make a statement in support of their application submitted on our IFR Patient Statement form.

Contact us

South East Staffordshire and Seisdon Peninsula Clinical Commissioning Group
Second Floor, Marmion House 
Lichfield Street, Tamworth
Staffordshire B79 7BZ

Working with Cannock Chase CCG and Stafford and Surrounds CCG