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Communication Referral

Please ensure you have the evidence of an identified and persistent SLCN as you will need to refer to this and submit it with the referral form. 

You will also need the following information prior to starting to complete the online form:

Child’s Full name, Date of birth and Address
Child’s GP name and address
Parent/Carer names
Parental consent to refer (verbal with date and who consent was provided to)
Safeguarding information, where relevant
Names and contact details of any other professionals involved
Information of any medical diagnoses
Evidence of your initial speech/language screen, intervention record, and rescreen (speech sound screen if appropriate)


If appropriate please download and complete the speech sounds screen here before filling in the referral form. This can then be attached at submission

If you would like to print and post a referral form please download here