Wheelchair Service Referrals
Please note: The following information is intended to help healthcare professionals refer new clients to us. We can only accept referrals from appropriately qualified healthcare professionals. If you are an existing service user, please contact us directly.
Referral Forms
If you are a healthcare professional and want to refer to our service, please download the relevant referral form below:
Referral Form - Calderdale and Kirklees Wheelchair Service Referral Form - Dudley Wheelchair Service Referral Form - Solihull Wheelchair Service Referral Form - Tameside Wheelchair ServiceGP Referral Forms
If you are a GP and want to refer to one of our services please download the relevant GP referral form below:
GP Referral Form - Kent and Medway Wheelchair Service
GP Referral Form - Solihull Wheelchair Service GP Referral Form - Tameside Wheelchair Service
These forms are also imbedded into the GP databases.
Please complete the sections of the referral form that are relevant for your service user and the equipment that they require. Sending an incomplete referral may result in your referral being delayed or rejected.
You can complete our referral forms ‘on-screen’ using Adobe Acrobat software. This is available for free from Adobe. We recommend you “print to PDF” after completing your referral and send it to us using an encrypted email service.
Establishing Eligibility
The Commissioners, under guidance from NHS England, have created the eligibility criteria for Wheelchair Services. Referrals must meet the criteria to be accepted, so please read them carefully to make sure your client is eligible for the service.
If your service user requires a short term loan of a wheelchair, please contact the Red Cross (other providers may be available).
Information Guides
We have put together some guidance and considerations for Healthcare Professionals, to access these please click the button below:
