How to Complete a Referral Form
You will need Adobe Acrobat to view the form.
Please view the guidance notes for each section of the form by clicking on the blue 'i' symbol.
By completing a referral, you are committing yourself to support KM CAT in meeting the patient's needs.
Provision Only Referrals
If requesting an iPad or iPod App, then please note that we cannot accept the referral unless the e-mail address for the patient's iTunes account is stated (question 12.7.)
The aim of a consultation is to support the referrer when they are unsure how to proceed, and may be face to face, or a phone consultation. The client is not present for the consultation.
Send a completed referral form to email@example.com