Indigo pathway – referral form

Please complete the below before submitting your referral

Please complete the relevant documents below to send alongside the referral

For Autism Assessment Referral, please complete the following and send to medch.childrenscommunity@nhs.net, along with reference code from this email:

• Autism Screening paperwork for education (school/education to complete)
• Autism Screening paperwork for home (parent/carer to complete)
• Family Developmental History (parent/carer to complete)

For ADHD Assessment Referral, please complete the following and send to medch.childrenscommunity@nhs.net, along with the reference code from this email:

• ADHD Screening pack for teachers (school/education to complete)
• ADHD Screening pack for home (parent/carer to complete)
• Family Developmental History (parent/carer to complete)

Please note, this referral cannot be triaged until the relevant documents above are sent.

If you have any issues, please contact us on 0300 123 3444 or email medch.childrenscommunity@nhs.net.