Worcestershire School Nursing Service referral

Please read the referral criteria below carefully before submitting the form:

1. We accept electronic referrals from Schools, Parents, GPs and other professionals for school aged children. If you need a word version, please email: whcnhs.0-19PHNOpenDoor@nhs.net.
2. We can accept telephone contact from parents for initial advice or for further referral information contact the service on 01905 520032. We also have a confidential texting service for parents via our Chat Health Parent Line: 07312 263547.
3. Young People can self-refer or chat with a school nurse via ChatHealth | Children, Young People and Families.
4. All referrals will be processed by our team, and responses will be sent via email. Please ensure you add your contact email address to the referral form.
5. You should expect to have a response to your referral within 14 days.

Further guidance:

• If children/young people are already under the care of specialist health services and you need further information, this should be requested from the specialist service.
• If you have any safeguarding concerns, please do not refer to this service. Follow your organisation’s safeguarding policy and/or make a direct referral to Worcestershire’s Family Front Door.
• Please ensure that you have gained and documented consent from young person 13+ before submitting a referral.
• Please only add one child per referral form (Siblings require separate referral forms to be submitted).

Consent

Note: Questions marked by * are mandatory

*This is a mandatory field. has verbal consent been obtained from a parent/carer for children under the age of 13 or from the young person if over the age of 13?:

Please Select An Option YesNo

If yes, name of person giving consent:

* Spam Guard: Is a stop sign red or blue?