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Nutrition service 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 below to refer children who meet the Paediatric Nutrition Referral Criteria:


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 advise you to email birminghamlifestyles@birmingham.gov.uk or you can write to Birmingham Lifestyles, PO Box 16732, Birmingham B2 2GF.

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), link below
    Adult General (Primary Care) Referral Form - April 2022


  • Please use the NST Referral form to refer those who meet the Nutrition Support Referral Criteria, link below  

Adult Referral Criteria Summary June 18

Gastro Services  Referral Criteria

Referral Criteria Nutrition Support updated 2016

Nutrition Nurse Referral Form - April 2022

Nutrition Support Team Referral Form - April 2022