Referrals
Anyone can make a referral.
The bladder and bowel team sees people who are aged 2 to 18 years who are registered with a Hounslow GP.
Children’s Community Nursing referral form
All referrals must be accompanied by:
A copy of your initial completed Continence Assessment Form – Child that has been toilet trained OR Continence Assessment Form - Child who has not yet been toilet trained.
Copies of all other assessment documentation used e.g. Intake/Output Chart, Poo Diary, Night Time Diary/ Toilet Readiness Assessment Chart.
If child is suffering from constipation and/or daytime bladder problems - evidence of physical examination carried out by GP/Paediatrician.
Please note: The appropriate Intake/Output Chart, Poo Diary, Night Time Diary/ Toilet Readiness Assessment Chart must be completed for a minimum of two weeks and submitted with your referral.
More information and copies of the continence assessment forms can be downloaded from The Children’s Bowel & Bladder Charity