The application of pumps as turbines (PAT) has been developed in several applications for energy recovery schemes. Therefore, establishing a performance correlation between pump mode and turbine mode is essential for selecting the proper machine. However, slip phenomenon is the challenges of head prediction for PAT. In this paper, the slip phenomenon of pump and PAT was revealed, and the slip factor was studied using CFD. The effect of slip on head prediction for PAT was analyzed, and a theoretical prediction model was presented considering slip factors. In order to validate the head prediction model, six centrifugal pumps with specific speed (ns) from 9 to 54.8 were tested as turbines. Results showed that the predicted head by the proposed method was in good agreement with the experimental data, and it is more accurate than Stepanoff, Alatorre-Frenk, Sharma, and Derakhshan models. This method can be applied in head prediction for low specific speed PAT ( ns <60).