Mindworks Surrey Guide to Requesting Support 

We have developed a Guide to Requesting Support for professionals

The following documents may be requested to gain further information that will support a request for support. Completed forms can be attached to your online request.

If you have been sent a paper copy but need a replacement copy, please download and complete the appropriate documents. All forms are in Word format, just click on the form name in the tables below to download a copy.

Request for Support forms

Forms to support requests for support to the Autism Spectrum Condition (ASC) service

Form name To be completed by
Autism Spectrum Screening Questionnaire (ASSQ) Parent/guardian and school
School form and request for information School
Autism Spectrum Quotient (AQ) form Young person if aged 14 or over

Forms to support requests for support to the Attention Deficit Hyperactivity Disorder (ADHD) service

Form name To be completed by
PADH form, please return to NDReferrals@sabp.nhs.uk It is a requirement for the PADH to be completed as part of the diagnostic assessment process. We don’t currently accept self-referrals. Parent/guardian
Parent SNAP and additional information Parent/guardian
School SNAP and request for information School, parent/guardian
ADHD Medication Review Requester

Form to support requests for support to the Learning Disability service

Form name To be completed by
School Questionnaire - LD School