Nutrition and Dietetic Services referral forms
Welcome to our referral pages. Please find the relevant referral form for the service you require, complete and send back to us using the instructions on each form.
To refer children
Please use the Paediatric Nutrition Referral form to refer children who meet the Paediatric Nutrition Referral Criteria:
Paediatric Nutrition Referral Criteria
Paediatric Nutrition Referral Form
To refer adults
Please use the Adult General (Primary Care) Referral form to refer those who meet the Adult Referral Criteria (unless requiring a home visit or resident in a care home):
Adult Referral Criteria Summary
Adult General (Primary Care) Referral Form
Adult (Nursing / Residential Home) Referral Form
Please use the NST Referral form to refer those who meet the Nutrition Support Referral Criteria, link below
Referral Criteria Nutrition Support
Specialist Community Gastroenterology Service Referral Criteria
Nutrition Support Team Referral Form
Changes to Weight Management
There has been a significant reduction in the allocation of funding for Public Health from 2016 onwards which has affected some of our services. As a result of these cuts, Birmingham Community Nutrition no longer accepts referrals for:
- Weight management for adults, except for a small service for those requiring Specialist Weight Management (See adult referral criteria below)
- Weight Management for children
- Referrals from health visitors and school nurses to see children for faltering growth
We are sorry that we are no longer able to offer these services. However you may find the following sources of information useful:
- The Change for Life website www.nhs.uk/Change4Life
- The NHS choices website www.nhs.uk
- National Public Health Lifestyles website – One You. https://www.nhs.uk/oneyou#Aklybueh4rZVPCJ3.97
- Commercial weight loss support groups, such as Weight Watchers, Slimming World.
- British Dietetic Association Food Fact sheets. www.bda.uk/com Simple information sheets providing advice
Or please see our resources page
If you have any comments or queries about the lack of weight management services, we recommend that you email birminghamlifestyles@birmingham.gov.uk or you can write to Birmingham Lifestyles, PO Box 16732, Birmingham B2 2GF.