Paeds Liaison Form - EPR

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March 13, 2022

The Paediatric Liaison Form (PLF is now part of EPR – how to guide)

This form alerts the Paediatric Liaison Team to your concerns so that they can investigate and provide appropriate support to the child & family.

You SHOULD inform the family that you are completing the form as the Paeds Liaison Team or other agencies (e.g. social services or school nurse)may contact them.

You SHOULD NOT use this form for patients who have either suffered or at risk of significant harm. In this case you should discuss directly with the paediatric consultant on-call.

PDF: Paediatric Liaison Form

PDF: Safeguarding Guide