How to Use This Page
Below, you’ll find three sections: one for Teacher Referrals, one for Family Referrals, and one for GP Referrals. Simply select the appropriate option based on your role:
- Teacher Referral: Designed for teachers who have noticed developmental or behavioural concerns in a child within their classroom. This form includes check boxes for specific areas of concern and space for additional comments.
- Family Referral: (coming soon!) Created for families who would like to initiate a referral for their child’s support needs. This form allows you to share any observations and concerns you have noticed in your child’s development.
- GP Referral: For General Practitioners who have identified developmental, behavioural, or physical concerns in a child. This form includes sections to detail medical insights and relevant observations, helping us understand the child’s needs and tailor our support accordingly.
Teacher Referrals
If you are a teacher submitting a referral on behalf of a student’s parents or guardians, please use this section to complete the referral form.
Ensure you have consent from the child’s parent/guardian before submitting. We will require their contact details including name, email and phone number.
Parent/Guardian Referrals: Instructions
If you are a parent or guardian interested in seeking support for your child, please use this section to complete a referral. This form allows you to provide information on any developmental or behavioural concerns you may have, helping our team determine which of our services could best support your child’s needs.
OT, Speech and Psychology referral forms coming soon!
GP Referrals: Instructions
If you are a GP who has observed concerns regarding a child’s development, behaviour, or physical health please use the following forms to submit a referral.
OT and Speech referral forms coming soon!
How We Use Your Information
The information you provide in these forms is confidential and used solely to evaluate the child’s needs. Our goal is to create a tailored plan to support their growth and development. By submitting a referral, you help us ensure that we recommend the most appropriate and effective services.
Thank you for choosing Down South Therapy to support your child's journey. We look forward to working together to make a positive impact.
If you would prefer to speak to someone, or have any questions, please call 0404 698 218, our friendly admin team will be happy to help.