This page provides links to all the existing referral forms for Merton community services.
For children's services referrals contact details are included in each referral form (see list below).
Introduced in February 2017, our case management model has a team of clinical and non-clinical case managers and care navigators, including a pharmacist, working together to meet the complex and multiple needs of adult patients in Merton.
We combine clinical and non-clinical interventions ie, social prescribing, to address medical, social, psycho-social, mental, Isolation, non-engaging, substance misuse and pharmacy/medicine issues. We also help clients that are not engaging with the process and have substance misuse issues or are homeless.
The following services currently accept verbal referrals:
Case management
Referral form - doc
Community nursing
See verbal referral instructions above
IV antimicrobials referrers key information - pdf
Intravenous antibiotic therapy referral form - pdf
Authorisation to administer medication - doc
Community respiratory team
Continence service
Contraception and sexual health
Diabetes service
Diabetes referral form - doc
Desmond group education referral - doc
Domiciliary physiotherapy
Heart failure service
HIV service
Tissue viability service
Community dietetics
Referral criteria - pdf
Community dietetics referral - doc
Home enteral feeding referral form - doc
Community neurotherapy team
Community rehabilitation team
Dysphagia team for adults with learning disabilities
Falls prevention service
Home response service - see verbal referral instructions above
Exercise class referral form - doc
Falls prevention referral form - doc
HARI (holistic assessment and rapid investigation) service
Referral information - doc Referral form - doc
MSK
Please note: We do not provide the MSK service in Merton. Information from Connect who provides the service is available here www.connecthealth.co.uk/patient-information/
Podiatric Surgery
Podiatry
Podiatry referral form - doc
Rapid response team
Speech and language therapy
Check it out
CLCHT.Check-It-Out@nhs.net
Children's dietetics and home enteral feeding
clcht.mertonicnteam@nhs.net
Referral form (doc)
Children and family respite service
Please contact your social worker to discuss a referral to our service
Children's physiotherapy
Children's safeguarding team
Safeguarding queries direct line: 0208 102 4218
Children's occupational therapy
Children's speech and language therapy
Family nurse partnership
CLCHT.FNPMerton@nhs.net
Notification pathway - pdf
Notification form - doc
Health visiting
Please contact the HCP admin team on 0330 053 9264
School nursing
CLCHT.SchoolNursingMerton@nhs.net
School nursing referral form - doc
Enuresis referral form - doc
