Referral and Consent Forms
Below is a list of different referral forms to access support for children and young people in Doncaster.
Adoption Support
Autism and Social Communication Educations and Training Service (ASCETS)
- Autism Social Communication Education and Training (ASCETs) Consent and Privacy Notice.doc (1)-1
- Download (70KB - DOCX)
Behaviour Outreach Support Service (BOSS)
- B.O.S.S. referral v2024
- Download (91KB - DOCX)
Child and Adolescent Mental Health Service (CAMHS)
- Child and Young Person Mental Health Service (CAMHs or CYPMHs) Referral form
- Download (127KB - DOC)
Community Paediatrics Clinic
- DBTH CPC and 0-5 ASD referral parent and carer v3
- Download (164KB - DOC)
- DBTH CPC Referral Request Form- school or health professional section v2
- Download (132KB - DOCX)
- Request for a Neurodevelopment Health Summary 0-5 years
- Download (208KB - DOCX)
Early Years Inclusion Team (EYIT)
Educational Psychology Service (EPS)
Education, Health and Care Plan Needs Assessment (EHCNA)
- How to refer for an EHCNA
- Download (629KB - PDF)
Go to Doncaster EHC Hub to begin the request
EHCNAEngagement and Behaviour Team
Occupational Therapy and Physiotherapy
Neurodevelopmental Assessment Pathway
Autism 5-18 Years and ADHD 7-18 Years
Rotherham Doncaster and South Humber NHS Foundation Trust (RDaSH)
Rotherham Doncaster and South Humber NHS Foundation Trust (RDaSH)
0-5 Years Autism Pathway
- DBTH CPC and 0-5 ASD referral parent and carer v3
- Download (164KB - DOC)
- DBTH CPC Referral Request Form- school or health professional section v2
- Download (132KB - DOCX)
- Request for a Neurodevelopment Health Summary 0-5 years
- Download (208KB - DOCX)
Service for Children with a Hearing Impairment
- Service for Children with a Hearing Impairment Referral Form
- Download (82KB - DOC)
Hearing Impairment Service
Service for Children with a Visual Impairment
- Consent and Referral Form Master Jan 2025
- Download (92KB - DOC)
Special School Outreach
- Outreach REQUEST FORM May 2024
- Download (25KB - DOCX)
Speech and Language Therapy Service (SALT)
- DBTH Childrens SLT - Request for Involvement
- Download (124KB - DOC)
- DBTH-Childrens-SLT-Feeding-Request-for-Involvement
- Download (1.21MB - DOC)
- Speech and Language Therapy Communication Checklist - age 0-5
- Download (933KB - DOCX)
- Speech and Language Therapy Communication Checklist - age 5-18
- Download (1.24MB - DOCX)
- Speech and Language Therapy - Will the child be seen in school or clinic?
- Download (59KB - DOCX)
South Yorkshire Talking Together
- Talking-Together-Assessment-Form-V2
- Download (131KB - DOCX)
- Talking-Together-Referral-Form
- Download (114KB - DOCX)
With Me in Mind
- With Me In Mind Info gathering form BLANK
- Download (67KB - DOCX)
Zone 5 - 19 (Previously School Nursing and Project 3)
- ZONE 5-19 NEW REF V4
- Download (143KB - DOCX)
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