Get Kirklees Camhs Referral Form

Completing the Kirklees Camhs Referral Form online is a crucial step in seeking support for a child or young person's mental health. This guide will provide clear, step-by-step instructions to ensure you fill out the form accurately and comprehensively.

Follow the steps to complete your referral efficiently.

1. Click the ‘Get Form’ button to access the Kirklees Camhs Referral Form and open it in your preferred editor.
2. Begin by providing client details: enter the full name, gender, date of birth, age, NHS number, ethnicity, religion, and indicate if there is a disability.
3. In the 'Reasons for Referral' section, specify when the problems started, describe how they are affecting the child and family, and identify any specific mental health concerns. If relevant, attach results of any investigations regarding eating disorders.
4. Document what actions have been taken to address the difficulties and provide relevant medical history, including any medication currently used.
5. Fill in parent/carer details, including contact address, names, and telephone numbers. Specify the child's address if it differs from the parent/carer's.
6. Indicate the preferred language and if an interpreter is required, including signing support if necessary.
7. List any siblings along with their names and dates of birth or ages.
8. Enter details about the school or college attended, the contact name, and the contact telephone number.
9. Answer the questions related to child protection plans, allocated social workers, and any safeguarding concerns, providing details where necessary.
10. List other services or professionals involved, including their names and agencies.
11. Confirm whether the referral has been discussed with the family, and if the young person (aged 16 and over) has consented. Note whether a Common Assessment Framework (CAF) has been completed and provide reasons if not.
12. Ensure that the parent/carer with parental responsibility has given permission for CAMHS to contact other involved professionals.
13. Review the criteria for referral to CAMHS and ensure the child or young person meets the necessary conditions.
14. Complete the risk assessment by marking applicable risk factors and providing comments on their nature and frequency.
15. In the 'Referrer Details' section, print your name, signature, designation, date, address, and contact number.
16. Once all fields are completed, ensure to save your changes. You can choose to download, print, or share the filled-out referral form as needed.

Start your referral process online today by filling out the Kirklees Camhs Referral Form.