Autistic Spectrum Condition Referral
Print this pagehttps://cchp.nhs.uk/file/spe-form-210921https://cchp.nhs.uk/file/spe-form-210921The Autism Hub accepts referrals for children & young people (CYP - up to the age of 17 years and 6 months), registered with a GP in Bristol and South Gloucestershire, who are experiencing difficulties and differences that are associated with Autism.
What is the Autism Assessment Hub?
Who can make a referral?
- Parents and carers
- Health care professionals: e.g. Community Paediatricians, Speech & Language Therapists, GPs, School Health Nurses
- Education staff e.g. Early Years setting or school Special Educational Needs Coordinator (SENCO), nursery key worker
How do I make a referral?
Referrals to the Autism Hub must contain detailed evidence of:
- Significant difficulties which impact the child/young person’s (CYP’s) daily life
- The difficulties the CYP experiences at home and at nursery/ school/ college. Let us know if this if they act differently in these two places.
- Difficulties in the areas of development, such as social communication and interaction, and restricted and repetitive behaviours.
The following forms/questionnaires help gather this information, and must all be included:
Forms for children under 11 years (Early Years & Primary School children)
 Bristol and South Gloucestershire Single Point of Entry (SPE) form |
If you are not the CYP's parent/carer, please make sure you have consent from a person with parental responsibility |
| Parent questionnaire - early years and primary school age |
If parents have different views, then we encourage both parents to complete a questionnaire |
| If the child does not attend an Educational Setting, then these questionnaires are not required. Please send any information from other sources (e.g. Hospital Education Service) |
Forms for children over 11 years Secondary School students)
| Bristol and South Gloucestershire Single Point of Entry (SPE) form |
If you are not the CYP's parent/carer, please make sure you have consent from a person with parental responsibility |
| Parent questionnaire - secondary school age |
If parents have different views, then we encourage both parents to complete a questionnaire |
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If the child does not attend an Educational Setting, then these questionnaires are not required. Please send any information from other sources (e.g. Hospital Education Service) |
| Optional for young people to share information about themselves |
Please complete forms/questionnaires in full, and send to:
Community Children’s Health Partnership,
Single Point of Entry,
Unit 9 Eastgate Office Centre,
Eastgate Road,
Eastville,
Bristol,
BS5 6XX
Tel: 0117 340 8201 Email: sirch.singlepointofentry@nhs.net
