The following should make you consider a referral for further assessment:
- When a child is short for parents' heights
- When height velocity is below expected for age
- If the height has crossed > 2 centile lines (up or down)
- Height > 3 SDs below mean (ie less than the 0.4th centile)
- Child is at risk of having poor growth
- Known to have a condition associated with growth failure
- Known to have had treatment that may lead to poor growth as a side effect