Featured ImageWAVERLEY PARK OPERATING ROOM WAVERLEY PARK OPERATING ROOM

PRIVATE MINOR SURGERY – REFERRALPRIVATE MINOR SURGERY – REFERRAL

Dr Paul M Newman/Dr Sheena Fraser, Waverley Park Operating Room,Dr Paul M Newman/Dr Sheena Fraser, Waverley Park Operating Room,
19 Dinmont Road, Glasgow, G41 3UJ19 Dinmont Road, Glasgow, G41 3UJ
Tel: 0141 632 8883, Fax: 0141 636 0654Tel: 0141 632 8883, Fax: 0141 636 0654

Patient Identification LabelPatient Identification Label

Referring GPReferring GP

Please indicate the position of the lesionPlease indicate the position of the lesion

ONLY AVAILABLE PRIVATELY AT WAVERLEY PARK OPERATING ROOMONLY AVAILABLE PRIVATELY AT WAVERLEY PARK OPERATING ROOM

Please tick belowPlease tick below

Dermofibromas/ LipomasDermofibromas/ Lipomas

Cysts that have not been infectedCysts that have not been infected

XanthelasmasXanthelasmas

Benign MolesBenign Moles

NeurofibromasNeurofibromas

Skin TagsSkin Tags

Any benign lesion Any benign lesion

Referral Type Referral Type
PrivatePrivate
DiagnosisDiagnosis

Reason for ReferralReason for Referral

P.M.HxP.M.Hx

RxRx

AllergiesAllergies

High Risk InfectionHigh Risk Infection
YES NOYES NO
HIV Hep B Hep CHIV Hep B Hep C

Editorial Staff