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Paediatric questionnaires and forms

If you are a parent or professional of a child who has been seen by a clinician and they have requested further/ current information please access the screening questionnaires/ diaries/ reports available here and e-mail to the service as an attachment via kcht.CommunityPaediatrics@nhs.net.

Please note if this information has been requested by a certain date and not received there may be a delay with the child’s appointment.

If you would like to submit information as you feel the child has had a change in how they present since they were last seen you are welcome to use these forms and e-mail to the service on the e-mail address above, please state in the email that these have not been requested but why you feel they are required.

Forms to be completed for new referral (if appropriate)

Other questionnaires