General referrals 

For general ICAN referrals and referral criteria please use the form below (this includes Community Paediatric Clinics, Paediatric Neuro-disability, Audiological Medicine, Growth and Nutrition, Occupational Therapy and Physiotherapy):

• General ICAN referral form 

• Referral form for nurse-led daytime and night-time wetting services

Please send all completed forms to ican.referrals@nhs.net 

(If you need this document in an accessible format please contact  ican.referrals@nhs.net)

Please use the specialist referral forms on the following service pages for:

ICAN Services

Audiology 

Eye Service

Community Paediatricians 

Adoption and Fostering 

Springfield Neonatal Follow Up Clinic

Nursing 

Continuing care nursing and short breaks

Hannah House 

Inclusion Nursing

• Contact