Clinical Services - Referrals

RELATED PAGES:   REFERRALS INFORMATION   INFORMATION FOR YOUR VISIT   LINKS

Is this the right service for you?

As an alternative to either completing the Referral form online (see the paragraph in green below) you can download a form from the Referral page, complete it and sent it to the address on the form.

Bramhall Speech and Language Therapy (Clinical Services) offers assessment and consultation for children with speech and language problems, communication and interaction problems related to the autistic continuum conditions as well as speech and fluency problems. At present we cannot offer assessment for children with other types of developmental problem. Please use the checklist below to ensure that we can offer you an appropriate service for your child ’s needs.

You can print out the referral form below by clicking the 'Print a Blank Form' link below then use your browser's Print menu option to print the form. Complete the form manually by ticking the appropriate boxes and include your name, address and a telephone number and send the completed form to the address on the form. (As the Print Preview pages opens in a new browser window or tab you can just close the window or tab to return to this page). Alternatively you can complete the form online by clicking the 'Complete the Referral online' link below. Thank you.

PRINT A BLANK FORM   OR   COMPLETE THE REFERRAL ONLINE

Below is a list of the questions that can be found on the form.

Services we can offer
If you answer yes to one or more of the questions below then a speech and language therapist may be able to help
 
YES NO
Are you concerned about your child’s listening and concentration?    
Are you concerned about your child’s ability to relate to others or play with peers?    
Are you concerned about your child’s speech intelligibility?    
Are you concerned about your child’s ability to understand spoken language?    
Are you concerned about your child’s ability to speak in sentences?    
Do you have concerns about your child’s play?    
Do you have concerns about your child’s reading and writing?    
Are you concerned that your child’s not talking yet?    
Do you have difficulty understanding your child’s speech?    
Does your child have non-fluent speech which is beginning to cause concern?    
Does your child talk inappropriately about unrelated subjects?    
Do you find it difficult to have a conversation with your school-aged child?    
Does your child have difficulty making friendships?    
Does your child repeat your speech or phrases from videos and TV without understanding?    
 
Services we do not offer
We do not offer services for children with significant developmental problems other than communication problems. If you answer yes to one or more of the questions below, it is likely that your child may need to be seen by a different professional.
 
YES NO
Are you concerned about your child’s general development?    
Do you have concerns about your child’s co-ordination?    
Does your child have difficulty with fine movements?    
Are you concerned about your child’s behaviour in general?    
Does your child have a hearing impairment?    
Does your child have a visual impairment?    
Do you have concerns about relationships with your child in general?    

If you have answered yes to one or more of the above questions in the 'Services we do not offer' table then your child’s difficulties may need to be assessed by other professionals and we recommend that you seek further information about potential sources of support by contacting one of the following organisations:

IPSEA Independent Panel for Special Educational Advice Tel: 0121 420 3007
Royal National Institute for the Blind (RNIB).
Connections Disability, Information, News and Community Centre
Scope - The national charity for people with Cerebral Palsy
Sense - the UK's leading organisation working for people with deafblindness and associated disabilities
National Attention Deficit Disorder Association
Institute for Attachment and Child Development
Down Syndrome Information Network
Mencap - understanding learning disability

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