Forms to download and complete

All referrals must be submitted on one of the two referral forms below. 

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:

  1. Parent or carer questionnaire
    AND
  2. Child or young person school questionnaire
    OR 
  3. 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.