All referrals to Primary Care Paediatric Occupational Therapy can now be made using the Children's Services Referral Form below. This can be completed electronically by typing into the document or alternatively it can be printed and completed by hand/writing into the form.
Please also complete the Additional Information Form corresponding to your child's age. Once complete the Children’s Services Referral form and the Additional Information Form can be forwarded by email or by post.
Please find the Children’s Service Referral Form, Cork & Kerry Community Healthcare Network - Contact Details (PDF, size 312.4 KB, 2 pages)
Childrens Service Referral Form (PDF, size 103.5 KB, 11 pages)
Childrens Service Referral Form - Information Leaflet (PDF, size 205.1 KB, 4 pages)
Additional information forms corresponding to your child's age
- Birth to 11 months (PDF, size 133.6 KB, 7 pages)
- 12 months to 2 yrs 11 months (PDF, size 208.4 KB, 10 pages)
- 3 yrs to 5 yrs 11 mths (PDF, size 226.5 KB, 12 pages)
- 6 yrs to 11 yrs 11 months (PDF, size 187.7 KB, 10 pages)
- 12 years to 18 years (PDF, size 169.8 KB, 9 pages)