Referral Guidelines

Patients can be referred to us through their GPs and other members of their healthcare and therapy team.

We also welcome patients referring themselves, regardless of of age, language, gender, race, presenting difficulty or location.

The following exception applies:

Please click here to download and complete the referral form and either fax or post to the address below.

  • Voice disorders (dysphonia) – referral must be made following examination of the larynx by an Ear Nose and Throat (ENT) surgeon. This referral requires patient’s consent.


If you aren’t sure whether Adult Speech and Language Therapy could help you, please call us and ask to speak to a Adult Speech and Language Therapist who will be able to advise you:

Gloucestershire Royal Hospital
Great Western Road
Tel: 0300 422 8105
Fax: 0300 421 6862