Referral criteria, forms and first-line management

We accept referrals from health professionals for patients who meet our referral criteria. Please download our Word referral form or PDF referral form. If you wish to discuss a referral with us please contact the relevant department base to speak with a member of staff.

We have recently changed our referral criteria for children. Please see information on referrals which are and are not currently accepted:

First line dietary management flowcharts for under 5s

If you/your child require advice and support to lose weight and do not meet our referral criteria, please click here


If you are referring a child with suspected or confirmed allergy, it would be helpful if you could use the following form: download the word document or download the PDF document.

Coventry and Warwickshire's system weight management group have developed local weight management pathways for health professionals to raise awareness of the choices of services available and support and make referrals. The pathways include services for children and adults from universal support through to more specialist support. Click here for more information.


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