This Service is aimed to support patients and primary care teams in the management of complex chronic diseases.  As with many chronic diseases, most patients can be diagnosed and managed in primary care.  However, support from specialised services is available where needed.  Our revised referral form was designed to help primary care practitioners to diagnose CCDs and decide on appropriate actions.  It includes clear paths on how to diagnose CCDs in primary care.  However, if you are in doubt or require advice on the management of people diagnosed with a CCD in primary care, you may book a physician-to-physician consult with us.  In many cases, you may find a referral to an alternative specialist service may be more appropriate; this may be the case when patients have diagnosed chronic diseases where chronic pain or fatigue are part of their symptoms.  Examples include pain management clinics, rheumatology, oncology or psychiatry.  However, if after considering your diagnosis and initial management of your patient in primary care, you decide that your patient's symptoms are indeed caused by ME/CFS, FM or SACLD, please complete the referral form and include associated information, so that we will be in an ideal position to help your patient.