№ files_lp_3_process_7_099974
Medical referral form used within NHS maternity and infant feeding services in Worcestershire to collect clinical and personal information for assessment of suspected tongue tie in infants with feeding difficulties.
Country: United Kingdom
Healthcare System: National Health Service (NHS)
Region: Worcestershire
Institution: Worcestershire Acute Hospitals NHS Trust
Type of document: Medical referral form
Medical specialty: Infant feeding and tongue tie assessment
Target group: Infants up to 16 weeks from Expected Date of Delivery
Required information: Baby and parent details, GP details, feeding issues, referrer details
Submission method: Email
Contact email: [email protected]
Associated service: Tongue Tie Assessment / Feeding Clinic
Related leaflet: “Tongue Tie” patient information leaflet
Referral criteria: Current feeding problem; speech referrals not accepted
Consultation process: Initial telephone consultation followed by possible clinic assessment
Price: 8 / 10 USD
The file will be delivered to the email address provided at checkout within 12 hours.

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