This document provides a template for referral of patients for a shared care ATMP clinical trial within or across NHS Trusts / Health Boards.

This template is a supporting document attached to ‘Guidance to establishing shared care ATMP trials within or across NHS Trusts & Health Boards’; a resource which identifies the key steps to establish shared care ATMP trials, within or across UK NHS Trusts or Health Boards. The guidance aims to accelerate clinical trial set up by supporting effective collaboration between disciplines/specialties, who are working under the same ATMP trial protocol.