KAMCAS Referral Form | Sinclair-Strong Consultants Ltd

Please enable JavaScript in your browser to complete this form.

KAMCAS Referral Form

Please enable JavaScript in your browser to complete this form.

KAMCAS Referral Form v8 - Step 1 of 43

The Kent and Medway Complex Autism Service (KAMCAS) is a commissioned specialist integrated Health & Social Care service that offers an alternative to inpatient and/or out of area treatment for adults with autism and complex co-occurring difficulties across Kent and Medway.

Our primary aim is to ensure adults with autism can live within their own communities by preventing admission to secure services (i.e. hospitals and prisons).

When the risk of serious harm to self/others or admission to secure services has been reduced, clients will typically be transferred back to secondary services for any ongoing care and support needs. As such, clients should remain open to secondary services for the duration of their support from KAMCAS.

Please note: This form may take some time to complete. You are able to save your progress and resume later, but some entered data is lost in doing so.

We therefore advise allowing enough time to complete the form in full and having all relevant copies of paperwork requested to hand before you commence.

By completing this form, you agree to Sinclair-Strong Consultants (SSC) processing and storing your personal information for the purpose of your referral, should it be accepted or rejected.

GDPR Privacy Agreement *

I consent to Sinclair-Strong Consultants collecting and storing personal information entered into this form for the purpose of processing the KAMCAS referral

Please see Sinclair-Strong Consultants Privacy Statement online for more details: https://sinclairstrong.co.uk/sinclair-privacy-statement

Does the client meet the KAMCAS referral criteria?

Please return to the previous page. Either tick all 3 criteria and proceed with your client's referral or choose client does not meet the KAMCAS criteria.

Unfortunately, your client has not met the KAMCAS criteria.

You can refer at any time in the future should you be able to evidence the autism diagnosis later and your client continues to meet the KAMCAS criteria.

Thank you for contacting KAMCAS

Referrals are only accepted from secondary services

KAMCAS is a tertiary service

Are you able to evidence your client's autism diagnosis?

You have selected No

An Autism diagnosis that you can evidence later in this form is required to continue

You are unable to progress with the KAMCAS referral at this time.

However, you can return and complete the KAMCAS referral form when you have evidence of an autism diagnosis

Can you please enter the client's name for our records below? Thank you.

Thank you for contacting KAMCAS

Please confirm informed consent has been obtained from the client

Please confirm this is a best interest referral and client consent is not required

Without consent either from the client directly or through a best interest decision you are unable to progress the referral to KAMCAS.

However, you can return and complete the KAMCAS referral form once you have this evidence.

Can you please enter the client's name for our records? Thank you.

Thank you for contacting KAMCAS

Please confirm the client has consented to a carer/next of kin speaking to KAMCAS on their behalf

You have selected: The client consents to a carer/next of kin speaking to KAMCAS on their behalf

Please provide the carer/next of kin details

Enter Carer or Next of kin contact details

You have selected: A best interest decision has led to this referral and client consent is not required

Please provide best interest decision details

Please confirm file upload

Please contact a member of the KAMCAS team to resolve file upload issues.

Email: kamcas@sinclairstrong.co.uk

Provide referrer details

We are unable to process a referral without diagnostic evidence of autism

Please contact a member of the KAMCAS team to resolve file upload issues.

Email: kamcas@sinclairstrong.co.uk

Section 1

Please complete referred client personal details

Section 2

Please complete referred client personal details

Section 3

Please complete referred client personal details

Section 4

Please complete referred client personal details

Section 5

Does the client require reasonable adjustments?

Provide details of client's carer or next of kin

What are the views of the client's next of kin, family and carers?

Client's GP surgery details

Client diagnosis

Client current risk

Client current risk

Client current risk

Client current risk

Client current risk

Client current risk

Client current risk

Client current risk

What are you looking for from KAMCAS?

Brief overview of recent incidents leading to KAMCAS referral?

How is the client's day-to-day life being affected? What difficulties are they experiencing?

How does the client think they will benefit from KAMCAS support?

Does the client have a forensic history?

Does the client have a history of hospitalisation?

What other services are currently involved with the client?

Complete your KAMCAS referral

Have you answered all questions and uploaded required files or are you submitting this form to record a client name for an incomplete form as requested?

Please note: Due to data protection, selecting 'NO' will immediately clear all form data entered and return you to the beginning of the form - no data entered will be stored or recorded.

You have not completed all the sections required and therefore your KAMCAS referral will not be processed.