Evidence-Based
For Clinicians, GPs and Nurses

FASD Clinical Toolkit

Checklists, templates and learning for clinical teams, based on SIGN 156 and NICE QS204.
FASD Compass · fasdcompass.co.uk/clinical-toolkit/
Practical resources for paediatricians, GPs, nurses, health visitors, CAMHS and allied health professionals. They are based on SIGN 156 and NICE QS204 and are free to use and adapt.
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An educational resource, not a diagnostic tool
These resources support clinical reasoning. They do not score, diagnose or rule out FASD, and they do not decide who should be referred. Diagnosis needs a multidisciplinary assessment using the SIGN 156 criteria.

Checklists and Guides

✅Clinical Assessment Checklist
History, alcohol exposure, growth and examination, the 10 areas, function, co-occurring conditions, differentials, MDT and management planning.

Open the checklist
⚡Clinical Quick Reference
When to consider FASD, what to gather, when to refer, what to assess, unknown alcohol history and support while waiting.

Open the quick reference
🎓Learning Modules
Six short modules for self-directed learning or team teaching.

Start learning
📨FASD Referral: A Guide for GPs
A printable guide that families can take to their GP.

Open the GP guide

Editable Templates

Word templates with prompts in square brackets. Adapt them to your service and follow your local records policy. SIGN also publishes sample assessment, diagnostic summary and management plan forms.

📨Referral letter
For GPs and other professionals referring a child for assessment that includes consideration of FASD.

⬇️ Download Word template
🧠Developmental assessment record
A structured record of history, alcohol exposure, growth, examination and the 10 areas.

⬇️ Download Word template
👥Multidisciplinary summary
Brings together findings from the team and the SIGN 156 outcome.

⬇️ Download Word template
💌Family feedback letter
A plain-language letter for families after assessment.

⬇️ Download Word template
🗺️Individualised management plan
Needs, actions, who is responsible and review dates.

⬇️ Download Word template

More for Clinicians

📚Diagnostic criteria
SIGN 156 criteria, the 10 areas of assessment and NICE QS204 on the Clinicians page.
🗺️No local service
Options when there is no local FASD pathway: routes to an assessment.
🏫Schools
Share the School Support Toolkit with schools after assessment.
Sources: SIGN 156: https://www.sign.ac.uk/media/1092/sign156.pdf · NICE QS204: https://www.nice.org.uk/guidance/qs204/chapter/Quality-statements

Last reviewed: November 2026 by Dr Inyang Takon, Consultant Neurodevelopmental Paediatrician. For professional education only. Clinical decisions remain with the treating clinician. Follow SIGN 156, NICE QS204 and your local pathways.