Forms to download and complete
All referrals must be submitted on one of the two referral forms below.
- Neurodevelopmental Single Point of Access referral form - for children aged four years old and above
- Referral form for community paediatrics for children up to fourth birthday.
Please ensure the referrer or keyworker has known the child/young person for at least 3 months prior to referral, otherwise the referral may not be accepted. Working with the child/young person for a minimum of three months will ensure you are able to provide sufficient information for the referral.
You will also need to complete the following questionnaires:
- Parent or carer questionnaire
AND - Child or young person school questionnaire
OR - Pre-school questionnaire
Returning the completed forms
The completed forms to be sent to:
Email: dhcft.SPOA@nhs.net
If you need to discuss a new or existing referral, the SPOA Administrator can be contacted on 0300 7900 264.