To submit a referral to the Children's Learning Disability team please fill in the form below and they will get in touch when it has been received and processed. 

Date of Referral Required
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Child's Date of Birth Required
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Does the appointment need to be made by telephone? (e.g. for literacy reasons) Required
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Do we have permission to leave a message Required
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Has the parent or young person given consent for the referral which will include the team accessing child’s record and discussing the case with other services gain information appropriate to the referral? Required
Does the child / young person have a Learning Disability? Required
Does the child / young person have a diagnosis of Autism or are they currently on the Neurodevelopmental Pathway? Required
Has the child/young person and their family received or requires as a standalone offer of support a Hospital Passport? Required
Has the child/young person and their family received or requires as a standalone offer of support a Communications Passport? Required
Has the child/young person and their family received or requires as a standalone offer of support First Hand engagement sessions (6 weeks parent sessions)? Required
Has the child/young person and their family received or requires as a standalone offer of support a Annual Health Check 14+? Required
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Does the child / young person have an Education, Health and Care Plan? Required
Are there any current or previous safeguarding issues? Required
Will the child or family require adjustments to access support (communication, interpreter services)? Required
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Has the Child/ Young Person been seen by you as the referrer? Required
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