Early intervention referral questionnaire

October 23, 2018

We support colleagues who may benefit from early intervention services, therefore expediting hospital appointments, whether it is a surgical procedure or an investigation.

Early intervention services may help you receive your treatment in a timely manner, and you may gain more immediate access to health services provided by the Trust. However, requesting these services does not guarantee that you will be seen any sooner and does not imply immediate or unrestricted access to services.

Colleagues can refer themselves by completing the early intervention questionnaire Early Intervention Questionnaire. Choose the “Early Intervention into SWBH Patient Services” from the drop down menu.

Please be aware that to enable us to monitor the effectiveness of this service, the occupational health and wellbeing service will require some information from you, which we will pass on to your physician/department.

Note: We’re unable to action your request, unless you provide us with all of the details requested. Questions that are marked with an asterisk (*) are mandatory questions and must be answered.