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Help with Self-referral form

I'm not sure how different the forms are between even different health trusts let alone different countries, but I could do with some help filling out my self referral form if anyone can?

Any help is gratefully received, if you are from the UK even better!
 
Post an image of the questions being asked, type up what you are think of entering in these questions and we might be able to piece some answers together with you.
 

Yes that's it Mia.

I'm not sure how much they want me to put in these little boxes... do they want to know about sensory issues? What box would they fit in? Or will that not even be taken into account when deciding if I should be referred for assessment?

How much information do they want? Do they want an entire list of signs/traits?

I don't want to write massive essays but I'm sure they would want as much info as possible... Its really frustrating me.

Stupid forms...
 
If you really really want a referral, put as
much information as you think matters,
even if you use a couple other sheets that
you staple to the original little form.

You don't really have to fit it all into those
teeny boxes.

Details are important and there is no need
to make yourself anxious trying to guess
just exactly which precise 1/4 inch of the
form your remarks should go.

Label/cross reference any added pages, though,
to indicate what your information refers to.

It's actually OK to say, *I'm not sure where
this exactly fits, but it is a concern of mine.*
That sort of thing.
 
If you really really want a referral, put as
much information as you think matters,
even if you use a couple other sheets that
you staple to the original little form.

You don't really have to fit it all into those
teeny boxes.

Details are important and there is no need
to make yourself anxious trying to guess
just exactly which precise 1/4 inch of the
form your remarks should go.

Label/cross reference any added pages, though,
to indicate what your information refers to.

It's actually OK to say, *I'm not sure where
this exactly fits, but it is a concern of mine.*
That sort of thing.

Its an online form I email to them. I shall just fill it with everything in that case, they can take what they need from that then.

Thankyou
 
Have never filled out one of these before, but I would suspect that they want examples, few for each box, so for example:

Social and communication difficulties:

Read this and pick the ones you think apply to you, the more the better:
https://www.iidc.indiana.edu/pages/...nctioning-Verbal-Children-and-Adults-with-ASD

Difficulties with Rigid/Repetitive Behaviors, Restricted Interests or Routines:
Obsessions, repetition, routines - NAS

Impact of Above Difficulties on General Functioning and Well Being:
Unable to find anything as it relates to this, suspect it has to be put together with the above two categories as it relates to your life.

Quite a few people from the UK here, and likely someone who's filled out this form. Hopefully they will give you some advice concerning this.
 
Last edited:
Have never filled out one of these before, but I would suspect that they want examples, few for each box, so for example:

Social and communication difficulties:

Read this and pick the ones you think apply to you, the more the better:
https://www.iidc.indiana.edu/pages/...nctioning-Verbal-Children-and-Adults-with-ASD

Difficulties with Rigid/Repetitive Behaviors, Restricted Interests or Routines:
Obsessions, repetition, routines - NAS

Impact of Above Difficulties on General Functioning and Well Being:
Unable to find anything as it relates to this, suspect it has to be put together with the above two categories as it relates to your life.

Thanks Mia
 

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