Your information
If you would like to find out what happens to personal information held about you, please read the your personal information section on our privacy policy page for more information.
For your security, this form will time out after 30 minutes. Please make sure you have any information necessary beforehand.
You can use this form to refer to Speech and Language Therapy, Occupational Therapy and Physiotherapy.
A referral to our speech and language service is only required for children who:
- are home schooled/out of school
- have a significant hearing impairment
- have a voice disorder
- have issues with eating, drinking and/or swallowing.
All other school age speech and language needs are addressed via school link therapy meetings. Please speak to your school’s Special Education Needs Coordinator.
If your child is of pre-school age or younger and you have concerns about their speech, language, or communication, please access by attending a Talking Walk-in drop-in session where you can meet with a Speech and Language Therapist for advice and support.
Occupational therapy and physiotherapy referrals:
Please note you are not able to refer for a social communication assessment using this referral system.
You can also refer to Children’s Care Coordination team.
Access criteria updated as of 25 October 2025, please see the most recent access criteria.
Before you start to complete the form please note that if you are making a referral for Eating and drinking, Early Years Language or School Aged Language or Selective Mutism you will need to have completed and saved the relevant referral resources on your own system, ready to upload at the end of this referral form.
Once you have started to fill in the 'referral form' you will be unable to save it until you have completed it. Please give yourself enough time to complete the form (approx. 20 minutes) and remember to attach the requested referral resources. Referrals risk being rejected if they do not include all information requested.
If you are a health or education professional we recommend completing this form with the child’s parent or carer present as there are questions that require their knowledge of the child. Please make parents/carers aware of Kent Community Health Foundation Trust’s Communication Policy – privacy policy. For communication preferences and opt out option please see referral form.
If you have any questions about making a referral for children and young people please find your local team.