Dumfries & Galloway Health & Social Care

School Nursing Self Referral Form

Self Referral Form for Young People and their Parents and Carers. 

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 & carer  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 will need to complete the referral with you.

If you are a professional and you would like to make a referral to the School Nursing service, you can find more referral information on the School Nursing Page.

If School Nursing is the best service to help you,  we will offer a first appointment.  However, if another service may be better suited to meeting your needs, with your consent, we will arrange onward referrals to more appropriate services.
 

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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