Community nurses for children with a learning disability (CNCLD) referral form

Please complete this form electronically and send it to our secure email address: bht.cyp-cncld-admin@nhs.net

IMPORTANT

It is essential that referrals are accompanied by a clinic letter from a GP / consultant clearly stating a learning disability diagnosis. This can include genetic conditions associated with learning disabilities such as Down’s syndrome or Fragile X syndrome. Failure to include this letter will result in the referral being automatically declined and so will delay care.

Find out more about the referral criteria, the services available and view additional resources.