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Please read guidance notes before completing this form Part A About the Patients.1Patient DetailsTitleForename and any middle namesSurname (family name)Address PostcodeTelephone (preferred) LandlineMobileNHS
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How to fill out childrens continence service

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How to fill out childrens continence service

01
Contact the children's continence service by phone or online to request an assessment
02
Attend the appointment with your child where they will be assessed by a healthcare professional
03
Provide information about your child's medical history, toileting habits, and any concerns you may have
04
Follow any recommendations or treatment plans provided by the healthcare professional to help manage your child's continence issues
05
Attend follow-up appointments as needed to monitor progress and make any necessary adjustments

Who needs childrens continence service?

01
Children who are experiencing difficulties with controlling their bladder or bowels
02
Children with medical conditions that may affect their continence, such as urinary tract infections, constipation, or neurological disorders
03
Children who are struggling with potty training or bedwetting beyond the typical age range

What is Children's Continence Service - Referral Form?

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Template Children's Continence Service - Referral instructions

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Childrens continence service is a specialized healthcare service that focuses on helping children with bladder and bowel problems.
Parents or legal guardians of children who are experiencing bladder and bowel problems are required to access childrens continence service.
To fill out childrens continence service, parents or legal guardians need to contact their healthcare provider or a specialized continence service provider to schedule an assessment.
The purpose of childrens continence service is to help children overcome bladder and bowel problems, improve their quality of life, and provide support and education to parents or legal guardians.
Information such as the child's medical history, symptoms, toileting habits, and any previous treatment or interventions must be reported on childrens continence service forms.
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