CHILD DEVELOPMENTAL ASSESSMENT SERVICE

Referral Guidelines

If you are referring via letter (instead of the referral form), please include all the information below.

Please note that referrals with insufficient detail will be returned for further information to be provided. This may delay the child’s assessment.

Demographic information
  • Child  and parent full names
  • Child DOB
  • Child country of birth
  • Language spoken by child and parents / carers
  • Whether an interpreter is required
  • Aboriginal / TSI status
  • Whether the child is in out of home care
  • Whether the parent is aware of the referral

 

Clinical history

  • Medical history
  • Existing diagnoses
  • Concerns regarding:
    • Communication
    • Fine / gross motor skills
    • Play
    • Self-care
    • Behaviour
  • Any observed / reported behaviours consistent with Autism Spectrum Disorder
  • Hearing status

Reason for referral

  • Main concerns
  • Clinical questions to be addressed by the developmental assessment

Other agencies, professionals or supports involved with the child (including name and contact details)

  • Speech Pathologist
  • Physiotherapist
  • Occupational Therapist
  • Social Worker
  • Psychologist
  • Dietitian
  • GP
  • Paediatrician
  • NDIS and / or Early Childhood Early Intervention
  • Pre-school
    • Plans for school entry (if relevant)
  • School
    • Results of assessment by school counsellor (if attending school)
  • School counsellor
  • FACS /  Brighter Futures
  • Other

Any other information or concerns



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Page last updated: 15 November, 2018