Get the free SLT Referral form - PARENTSnewDOC

Speech & Language Therapy Department Referral for Speech and Language Therapy FROM PARENT/GUARDIAN Child's Details (please print) Child's name DOB: Male Female Ethnicity: NHS Number Address Postcode

How to fill out slt referral form

1. Begin by gathering all necessary information. The SLT referral form typically requires personal details such as the patient's name, date of birth, and contact information. Make sure to also have any relevant medical history or previous assessments available.
2. Next, identify the referring practitioner. The form may ask for the name, contact details, and professional credentials of the person making the referral. It is essential to provide accurate information to ensure proper communication.
3. Provide a clear and concise reason for the referral. Describe the specific concerns or issues that require the attention of a speech and language therapist. This could include difficulties with speech, language, communication, swallowing, or any other relevant areas.
4. Include any relevant supporting documentation. This may involve attaching assessment reports, medical records, or relevant test results that support the need for the referral. Providing detailed information helps the speech and language therapist better understand the patient's needs.
5. Indicate the preferred mode of communication. Some SLT referral forms ask for information on the most effective ways to communicate with the patient. This could include preferences for written communication, sign language interpretation, or the use of assistive devices.
6. Finally, confirm whether the patient is aware and has consented to the referral. In some cases, the patient's signature or the signature of their legal guardian may be required. This ensures that the individual is fully informed and participating in their care.

Who needs an SLT referral form?

1. Individuals experiencing speech difficulties, such as difficulty pronouncing words, stuttering, or hoarseness.
2. Those struggling with language skills, such as expressive or receptive language development delays, reading difficulties, or challenges with understanding complex instructions.
3. People with swallowing difficulties, often as a result of a medical condition or injury.
4. Individuals with cognitive impairments that impact their communication abilities.
5. Those who have experienced a stroke, traumatic brain injury, or neurological conditions affecting speech and language.

Remember, it is important to consult with a healthcare professional or the specific guidelines of the organization requiring the referral to ensure accurate completion of the SLT referral form.

For pdfFiller’s FAQs

What is slt referral form?

The slt referral form is a document used to refer a student to the student leadership team for review and guidance.

Who is required to file slt referral form?

Teachers, school counselors, and administrators are required to file the slt referral form when they believe a student would benefit from additional support and guidance.

How to fill out slt referral form?

The slt referral form can be filled out online or by hand, and must include the student's name, grade, reason for referral, and any relevant concerns.

What is the purpose of slt referral form?

The purpose of the slt referral form is to provide students with the support and guidance they need to succeed academically and socially.

What information must be reported on slt referral form?

The slt referral form must include the student's name, grade, reason for referral, and any relevant concerns or observations.

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