Strike action is taking place in April. We'll contact you directly if your or your child's care is affected to rearrange your appointment as quickly as possible.

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chronic pain referral form

Description: EVELINA LONDON CHILDREN’S HOSPITAL OUTPATIENT PAEDIATRIC CHRONIC PAIN SERVICE REFERRAL FORM Thank you for referring a young person in your care
Url: /resources/our-services/hospital/chronic-pain/chronic-pain-referral-form.docx

Acute speech and language therapy service referrals

Description: How to refer to our acute speech and language therapy service.
Url: /our-services/hospital/speech-and-language-therapy/referrals.aspx

nutrition and dietetics referral form

Description: Evelina London Paediatric Dietetics Referral Form (General Paediatric Dietetics Outpatients) DOES NOT INCLUDE: Specialist Services (e.g. specialist aller
Url: /resources/our-services/hospital/nutrition-and-dietetics/nutrition-and-dietetics-referral-form.doc

Physical neurodisability and movement referrals

Description: How to refer to the physical neurodisability and movement service.
Url: /our-services/hospital/physical-neurodisability-movement/referrals.aspx

Orthopaedic and spinal referrals

Description: How to refer to the orthopaedics service at Evelina London.
Url: /our-services/hospital/orthopaedics/referrals.aspx

Community paediatrics referrals

Description: How to make a referral to our community paediatrics service.
Url: /our-services/community/community-paediatrics/referrals.aspx

Gait laboratory referrals

Description: How to refer to our gait laboratory
Url: /our-services/hospital/gait-laboratory/referrals.aspx

NHS specialised AAC service - equipment only request report template

Description: This report template can be used as a framework for requesting equipment from an NHS specialised AAC service.
Url: /resources/our-services/community/assistive-communication/equipment-only-request-report-template.doc

Dental referrals

Description: How to refer to our children's dental service.
Url: /our-services/hospital/dental/referrals.aspx

Your child's TANDeM outpatient appointment

Description: What to expect at your child's outpatient appointment at the TANDeM clinic.
Url: /our-services/hospital/tandem/patients.aspx

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