1. SLT REFERRAL PROCESS If you have any concerns about a client’s eating and drinking, complete the following 2 forms: a) General details b) Triage forms Fax or send these referrals through the post Incomplete forms will be returned.

2. SLT Referral Form: general details

3. Referral Form: Triage Form

4. Speech & Language Therapy Contact Details Lichfield: Samuel Johnson Hospital: 01543 412900 ext 3001 Tamworth: Sir Robert Peel Hospital: 01827 263800 ext 8227 North Staffs and Stoke-on-Trent:Bentilee Neighbourhood Centre: 01782 234481/2/3 Cannock: Cannock Chase Hospital: 01543 576414 Stafford: County Hospital: 01785 230207 Stone & Eccleshall: Stone Rehabilitation Service 01785 816917