Children's Occupational Therapy NORTH ONLY

For Childrens Services in Huddersfield please contact the children’s therapy department on 01484 344299

PLEASE NOTE - The Children's Occupational Therapy Service only accept referrals from consultant paediatricians. Thank you.

Children's Services OT

Child's details:
If contact details are incorrectly input where mandatory the referral cannot be processed
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
Muscles:
Increased Tone
Decreased Tone
Fluctuating Tone
Muscle Weakness
Joints/Bones:
Hypermobility
Contractures
Deformities
Gross Motor:
Any difficulties with the following:
Fine Motor:
Any difficulties with the following:
Activities of daily living:
Any difficulty with any of the following:
Other:
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.