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HUMBER NHS TEACHING FOUNDATION TRUSTHumber Adult Autism Diagnostic Service (HAADS) Referral FormAutism Spectrum Disorder (ASD) is a developmental disorder of variable severity that is characterised
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How to fill out autism referral form docx

01
Begin with the participant's personal information including name, date of birth, and contact details.
02
Indicate the reason for referral in the designated section, providing a clear description of concerns.
03
Fill out the sections regarding developmental history, including milestones and any relevant medical information.
04
Include behavioral observations, detailing any specific behaviors that raise concern.
05
Provide information regarding family history of autism or other related conditions.
06
Complete any additional sections such as educational background or previous assessments.
07
Review the form for completeness and accuracy.
08
Sign and date the form before submission.

Who needs autism referral form docx?

01
Parents or guardians of children suspected of having autism spectrum disorder.
02
Healthcare professionals who are recommending assessment for autism.
03
Educators who observe behavioral concerns in students.
04
Mental health professionals involved in the child's care.

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The autism referral form docx is a document used to refer individuals for autism assessment and services, containing necessary details about the individual being referred.
Typically, healthcare professionals, educators, or guardians who suspect an individual may have autism are required to file the autism referral form docx.
To fill out the autism referral form docx, provide accurate information including the individual's personal details, developmental history, observed behaviors, and the reason for referral, and then submit it to the appropriate service provider.
The purpose of the autism referral form docx is to facilitate the process of evaluating and diagnosing individuals suspected of having autism, enabling access to necessary resources and interventions.
The form should report personal details of the individual, including name, birth date, developmental milestones, specific concerns observed, and any previous assessments or diagnoses.
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