Making a referral
You can ask your GP to refer you to our team. You can also refer yourself by clicking on the forms at the bottom of this webpage.
Please email your forms or post them back to the address at the bottom of the page.
If completing the forms is difficult, please call 02074262440 to talk to a member of our team or email us for support.
Developmental history form
Please be advised a developmental history form needs to be filled in by a parent or guardian. This form asks for information about your family and childhood. It is an important part of our assessment because autism is present from birth. This form will help us to reach a decision about the outcome of your assessment.
You can support your parent or guardian to fill out the developmental form. For example, if they cannot read the form or do not speak English. Please write this in the box on the form.
Please see below if you are not able to complete the developmental form.
What to do if you cannot complete the developmental form
If it is difficult to complete this form, please contact us to discuss this further. In this situation, other information from childhood can be helpful for our service to have. This could be school or medical reports.
We might also ask for information from another family member, longstanding friend or partner in this situation.


