Make a professional referral

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Screening questions

  1. These questions help us ensure that you are referring to the right service

  2. Is the person you are contacting us about currently living independently in Southwark? *
       
  3. Are they a Southwark resident in a care setting outside of Southwark *
       
  4. Are they over 18 years old? *
       
  5. Are you referring them for Occupational Therapy support only? *
       
  6. Is the person you are referring aged 18 to 25 and presenting with a ‘severe and profound’ disability? *
       
  7. Are the main concerns about them due to their mental health? *
       
  8. Are they aged 65 or over? *
       
  9. Are the main concerns about them due to a diagnosed learning disability? *
       
  10. Are they experiencing, or at risk of abuse? *
       

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