Referral forms to download
You can complete the form in two ways:
Option 1 complete electronically: Click on the document to open. Save to your device. This will appear as a PDF document. Open the form again and complete all sections of the form. Save and email saved copy to DieteticsReferrals@SomersetFT.nhs.uk.
Option 2 complete by hand: print and complete the document, then scan and return to us via email to DieteticsReferrals@SomersetFT.nhs.uk.
Alternatively post a completed copy to the address on the form.
Please ensure you attach at least 4 days of food charts to your referral and complete all the mandatory information fields. Incomplete referrals will be rejected and returned.
Referring to the Community Dietitians
Care homes can refer directly to the community dietitians using the Community Dietetic Referral form for Care Homes. We recommend carers follow our guidance in the MUST Care Pathway for Care Homes in Somerset before referring.
Please note referral forms should be emailed from a secure email account. If your care home does not have a NHS.net email account we recommend referrals are sent via post to the following address:
Somerset Community Dietetic Service
1st Floor,
Bridgwater House,
King Square,
Bridgwater,
TA6 3AR
If you have a secure NHS email account please e-mail completed referral forms to: DieteticsReferrals@SomersetFT.nhs.uk
If you are having difficulty completing or sending the referral form please do not hesitate to contact us to discuss by emailing: DieteticsReferrals@SomersetFT.nhs.uk or calling us on 01278 447407