Children's Community Nursing NORTH ONLY

For Childrens Services in the South please contact the HRI Switchboard - 01484 342000

Children's Community Nursing

Child's details
If contact details are incomplete the referral cannot be processed
Overseas visitor?
Is the patient's main spoken language English?
What is the patient's main spoken language?
Consent for contact by email:*
Referral discussed with parents:*
Consent gained for the referral*
Without consent the referral will not be accepted
Consent gained for the child’s electronic medical record to be shared*
Without access to the child’s medical record, we will be extremely limited in what care we can offer and this may affect the child's progress
EHC plan or statement
Optional attachment
Community Nursing
Referral to:
ALL - equipment/dressings to be supplied for 7 days (including dressing packs, solutions, primary and secondary dressings etc)
If you do not receive an email acknowledgement your referral has not been submitted. Please check that all details are correct, mandatory fields completed and re-submit.