Follow the steps to successfully complete the referral form.

1. Click ‘Get Form’ button to access the referral form and open it in the online editor.
2. Start by filling in Part A. Input the date of referral, client details, including their name, date of birth, address, NHS number, and telephone numbers. Ensure the referrer’s information is filled out accurately, including name, role, address, and contact numbers.
3. Indicate if the client lives alone and if an interpreter is needed. Specify languages spoken and other relevant demographics such as ethnicity and council tax area by ticking the appropriate boxes.
4. Assess the urgency of the referral by ticking one of the options: urgent, soon, or normal. Remember, urgent referrals must be communicated by phone.
5. Detail the reason for the referral. Provide comprehensive information regarding current problems, severity, duration of symptoms, previous mental health history, and any known diagnoses.
6. Document the level of functioning, including cognitive deficits or communication issues, and medical/physical health history including any relevant safeguarding issues.
7. Move to Part B and detail living arrangements. Fill in who the child lives with, their relationship, contact information, and the person to contact regarding appointment details.
8. Answer additional questions about issues affecting the young person, including history of mental health difficulties and any involvement with other services.
9. Ensure mandatory consent is completed. The form requires signatures from the referrer, parent, and young person along with the date.
10. Provide the child’s school or college information, any expected outcomes, and detail any additional documents being sent with the form.
11. Finally, review all information for accuracy. Make any necessary changes before saving, downloading, printing, or sharing the completed form.

Complete the Camhs Referral Berkshire online form today to initiate support for mental health needs.