Dumfries & Galloway Health & Social Care

School Nursing Self Referral Form

Hello, if  you are a young person and would like to talk and gain support from a School Nurse, you can complete this short self referral form.

Or you can ask a parent / carers / professional to make a referral for you, but you will need to give your permission for this. If you are under 12 years old then parent / carer/ professional will need to complete the referral with you.

Once we have received your self referral form, a member of our team will get in contact with you, as soon as possible.

If you feel you need urgent support, please go to the ; Help I am in Crisis section on this website.

SECTION ONE – CHILD OR YOUNG PERSON DETAILS


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