CYP RMC Referral Form
Children and Young People's Specialist Community Health Services& Emotional Wellbeing and Mental Health Services
(for Northamptonshire Healthcare NHS Foundation Trust & Northampton General Hospital)
(for Northamptonshire Healthcare NHS Foundation Trust CAMHS and Youth Counselling)
Please complete this form, as fully as possible, with relevant information and details to support the referral to be clinically screened and the needs of the child or young person to be met by the most appropriate service or services. If you are making a referral for Attention Deficit and Hyperactivity Disorder, Autism Spectrum Disorder, Emotional Wellbeing or Mental Health Services please ensure that if there is an Early Help Assessment (EHA) this is attached. If there is not an EHA, please complete the questions as fully as possible.
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