Dr Harish Bangalore Consultant Paediatric Intensivist Active Item Refer your child to Dr Harish Bangalore Use the form below to refer your child for treatment. A member of our team will be in touch within 2 working days. Your Details Relationship to Patient: Parent Relative Embassy/Referrer Clinician Other Your Name: - Select -MrMrsMissMsDrProf Your Telephone number: Your email address: How did you hear about GOSH?: Preferred Language: English Arabic Mandarin Patient Details Patient's Name Patient's Date of Birth Your address Country of Residence Medical Speciality or Condition (if known) What is the purpose of your referral? Diagnosis Prognosis Specific treatment Second opinion Other/unknown This is the end of the basic form. Please note, in order to progress with a referral we require a medical report for the patient, therefore if you have this information available now, please click the 'provide more info' button. Alternatively press submit and one of our team will be in touch. Doctor Details Your GP's Name (UK patients only) Your GP's Practice address (UK patients only) Referring Doctor Any other Doctors involved in Patients care Funding Details Who is paying for your treatment? Self-pay Sponsor Insurance Embassy Other/Unknown Name of Insurer Medical Records Add Medical Report Choose file Add Additional Documents (X-Rays, Scans) Choose file Additional information Mandatory fields Dr Harish Bangalore Details Contact Share You can contact Dr Harish Bangalore through Great Ormond Street Hospital below. Telephone: +44 (0)20 7762 6822 Fax: +44 (0)20 7762 6743 Email: privateinfo@gosh.nhs.uk Share Dr Harish Bangalore profile with someone: Copy Link Link has been copied Related Content Related conditions Related consultants Specialist Neonatal and Paediatric Surgery We provide specialist surgical treatment for newborn babies and children with both congenital conditions and diseases of the gastrointestinal tract. Colin Forman Mr Colin Forman qualified from University College London Medical School in 2000 having completed preclinical training at University of Cambridge. Mr Forman’s post-graduate training took in a spell as a junior doctor in Birmingham, followed by two... Joe Curry I am the senior consultant in neonatal and paediatric surgery at Great Ormond Street Hospital for Children. I trained in the South East of England training consortium and was awarded the national gold medal for my performance in the FRCS paediatric S... Back to top