Referral Forms

These are examples of commonly used forms during diagnosis pathway, and why they are used.

AQ-10
BPQ
Schools Concerns
ADHD & Mental Health Forms
Austim Spectrum Quotient (AQ-10)
  • Age: 12-15
  • Who fills it out: parent or young person (if age 12+) 
  • What it does: a screening tool for autism in children 
  • Focus: social communication, attention, imagination, repetitive behaviours 
  • Use: used in primary care/referral pathways to see if a child or young person should be referred for a full autism assessment 
  • If aged 15+ download this form
Behaviour and Personality Questionnaire for Children
  • Age: 4-11
  • Who fills it out: parent/carer 
  • What it does: provides a detailed behavioural profile relevant to autism 
  • Focus: social interaction, communication, repetitive behaviours, emotional regulation 
  • Use: Gives clinicians developmental and behavioural context 
  • If aged 12-18 complete this form
School Current Conerns Form
  • Age: 4-18
  • Who fills it out: teacher/School Staff 
  • What it does: provides school-based observations 
  • Focus: social interaction, classroom behaviour, attention and learning 
  • Use: important as autism must be evident in multiple settings i.e. school and home

ADHD Forms

SNAP-IV

Who fills it out: parent and/or teacher 

What it does: screens for ADHD symptoms based on DSM criteria 

Focus: inattention, hyperactivity, impulsivity 

Use: first-line screening tool for ADHD 

Download the form here

ADHD V (Home/School/Self Version)

Who fills it out: parent (home), teacher (school), young person (self-report 12+ typically) 

What it does: asesses ADHD symptoms across different settings 

Focus: attention, behaviour, impulsivity 

Use: confirms symptoms are present in multiple environments 

Three forms can be downloaded here

Mental Health Forms

RCADS

Who fills it out: parent or child (if age 8+) 

What it does: assesses anxiety and depression symptoms (includes subscales for generalised anxiety, social phobia, OCD, panic disorder) 

Use: Often used in CAHMs instead of adult tools like PHQ-9/GAD-7 

Download the form here 

Summary Care Record

The Summary Care Record is an electronic record containing key health information e.g. Medications, Allergies, Health Conditions. 

You automatically have one if you are registered with a GP in England, unless you have opted out. 

You can request a copy directly from your GP practice, this may be relevant if you are taking the Right To Choose route.