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  • Salt Referral Form. Salt Referral Form

Get Salt Referral Form. Salt Referral Form

Children and FamiliesDORSET SPEECH & LANGUAGE THERAPY SERVICE The Childrens Centre Damers Road DORCHESTER DT1 2LB Direct Dial (01305) 25474311 Shelley Road Boscombe BOURNEMOUTH BH1 4JQ Direct.

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How to fill out the SALT Referral Form online

The SALT Referral Form is essential for accessing Speech and Language Therapy services for children. This guide provides step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to fill out the form correctly.

  1. Press the ‘Get Form’ button to obtain the SALT Referral Form and open it in your preferred document editor.
  2. Begin by filling in the child’s personal information, including their surname, first name, date of birth, and NHS number. Ensure that the details are accurate, as this is mandatory.
  3. Provide the child's home address and contact details, including home and other telephone numbers. Add the name of the general practitioner (G.P.) and their postcode.
  4. Indicate the ethnicity of the child and detail the names of the carers or parents, including their relationship to the child.
  5. Specify the family’s first language and indicate whether an interpreter is needed.
  6. List the child’s nursery, playgroup, or childminder, and provide the name of the Special Educational Needs Coordinator (SENCo).
  7. Mark the code of practice stage and mention any other professionals already involved in the child’s care, attaching relevant reports if necessary.
  8. Detail any known issues with physical development, sensory impairments, or medical concerns as needed.
  9. Provide the results of any hearing tests and indicate whether this referral is requested by a parent.
  10. Select the reason(s) for the referral by ticking the relevant boxes.
  11. In the summary of current concerns section, provide detailed reasons for the referral. Include as much relevant information as possible.
  12. Ensure that the parent or carer provides their signature and the date, indicating consent for the referral.
  13. Finally, include what you hope to achieve for the child through this referral to ensure clarity in the process.
  14. Complete the section designated for the referrer, including their name, designation, signature, date, and telephone number.
  15. Once all sections are filled out, review the form for completeness to avoid delays. Save changes, download, print, or share the completed form as needed.

Complete your SALT Referral Form online to ensure timely support for your child's speech and language needs.

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Referral Criteria Eating, drinking and swallowing difficulties, for example; Evidence of regular coughing, spluttering, gagging or choking during meals. Sensory difficulties or feeding aversion with associated faltering growth.

The adult speech and language therapy (SALT) service supports clients with acquired communication and swallowing difficulties. This may include those with stroke, brain injury, acquired progressive disorders, head and neck cancers, dementia, voice disorders.

Age 2½ years Close family cannot understand what he says. Says 10 to 30 words but is not putting words together. Says 30 or more words and is beginning to put words together. No concerns about understanding of spoken language.

Referral Criteria Eating, drinking and swallowing difficulties, for example; Evidence of regular coughing, spluttering, gagging or choking during meals. Sensory difficulties or feeding aversion with associated faltering growth.

SLT services run an open referral system for pre-school age children, so anyone can refer a child to the Early Years' Service if there is a concern about their speech, language, communication, or swallowing. To make a referral, please complete a referral form and email it to CLCHT.chirp@nhs.net.

A child should be referred for a speech or language assessment if he or she has the following symptoms: Struggles to imitate the sounds made by others. The variety of sounds a child makes decreases instead of increases. Makes only a few or poor quality sounds.

communication or eating and swallowing problems following neurological impairments and degenerative conditions, including stroke, head injury, Parkinson's disease and dementia. voice problems. mental health issues. learning difficulties.

Speech and Language Therapists ( SALT) work with parents/carers and others to assess if a child has speech and/or language difficulties, communication or eating and drinking difficulties. The therapist will consider the difficulties the child has and the impact these will have on his/her life.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232