If you are referring to Children's Speech and Language Therapy, please download and complete the referral form and send it to LHNT.child-therapy-referrals@nhs.net. 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.lincschildrenstherapyservice@nhs.net.

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Children’s Therapy Services – request for help

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By requesting this referral to the LCHS Child Therapy Services the parent/carer gives verbal/written consent to the Child Therapy Service sharing relevant information, including electronic records, with other services or professionals involved with the child. This may include discussing the child’s Therapy needs with their educational setting. 

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