Get Salt Referral Form - Wigan

This guide provides a detailed overview and step-by-step instructions on how to effectively fill out the SALT Referral Form for Wigan. Completing this form is an essential step in seeking speech and language therapy services for children, ensuring all necessary information is submitted correctly and efficiently.

Follow the steps to complete the SALT Referral Form online.

1. Press the ‘Get Form’ button to access and open the SALT Referral Form in your online editor.
2. Begin by filling out the child's information. Enter their name, gender (M/F), and date of birth.
3. Provide the child's address and postcode. If applicable, health professionals can enter the NHS number.
4. List the preferred daytime contact number by circling the appropriate option: home, mobile, or work.
5. Indicate whether parents or carers are open to being contacted via text message by ticking 'YES' or 'NO'.
6. Fill in the names of the parents or carers and note if they have any literacy difficulties by circling 'YES' or 'NO'.
7. Include the languages spoken at home and whether an interpreter is needed.
8. Enter the details of the child's general practitioner (G.P.) including their name and address.
9. Provide the name and address of the health visitor or school nurse involved with the child.
10. Mention the child's pre-school or school name, along with any current safeguarding concerns, providing details if 'YES' is selected.
11. List other specialist services involved with the child, such as educational psychologists or social services.
12. In the 'Reason for Referral' section, tick all areas where the child is experiencing difficulties. Provide comments on how these difficulties affect the child.
13. Detail any strategies or techniques that have been attempted to address the child's difficulties and the results of those efforts.
14. Confirm that parents have been informed of the referral and ensure verbal consent or written consent is attached if needed.
15. Complete the 'Referral Made By' section with your name, signature, job title, base/address, phone number, and the date of referral.
16. Finally, save your changes, and download, print, or share the completed form as needed.

Start filling out your SALT Referral Form online today to ensure timely access to speech and language therapy services.