Service criteria:

  • A diagnosis of a Traumatic Brain Injury (TBI)
  • 16 years of age plus  
  • Northumberland resident or registered with a GP in Northumberland.
  • The client is considered to be able to engage with neuro-rehabilitation with realistic goals for change. 
  • Referrals for clients with historic TBI’s will be considered against the previous bullet point

Referrals are accepted from GP, any professionals, carers or by self-referral by completing the form below, contacting the service directly by telephone 01670 394 150 or email nhisadmin@cntw.nhs.uk

Referral form

Details of person being referred

Required
Required
Required
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Required

Other contact

ie, relative, carer, Care Agency, friend

GP details

Required
Required

Referrer’s details

Required
Required
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Required
Does the person being referred consent to this referral and to being contacted by staff from NHIS? Required
Are there any concerns with the person’s insight? Required
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Required

Please state any pre-referral or ongoing mental health/physical health conditions

If there are any known risks associated with the client please state below

Please state if this person is or has been known to the Falls and Syncope Clinic

Required
Required