If you are referring to Children's Speech and Language Therapy, please download and complete the referral form and send it to LHNT.firstname.lastname@example.org. To request a paper form or additional support to complete the form, please call us on 01522 309025.
For Physiotherapy and Occupational Therapy, please complete the form below.
Please note, by completing these forms, you will be contacted by text, phone and email regarding the child. If you do not wish to be contacted, please inform the service by calling 01522 309025 or emailing LHNT.email@example.com.