Social Prescribing
Project
Referral Form
- The referral form should be completed using the project description
as guidance.
- A referral form MUST be completed for each referral including
project to project referrals.
- • Additional Information/Risk Assessment box should be used if you
have further, more detailed information that cannot fit onto the
referral form. For example: any physical/learning disabilities, women
only coach/changing area, detailed medical information, unable to attend
a group therefore requires one to one or if patient has had violent or
aggressive and may pose a risk.
- You must gain consent from the client to share any information with
the project.
Once completed a copy should be:
- Kept by referrer
- Given to client
- Sent to project
NB: Project to send copy to PCT for audit and evaluation purposes.
Download Referral form
here
