Get Early Years And Childcare Additional Needs Referral Form

Filling out the Early Years and Childcare Additional Needs Referral Form online is an important step in securing the necessary support for a child with additional needs. This guide will help you navigate each component of the form with clear and straightforward instructions.

Follow the steps to fill out the form correctly.

1. Press the ‘Get Form’ button to access the referral form. This action opens the form in an online format for you to fill out.
2. Enter the child's name and date of birth in the designated fields. These details are essential for identifying and tracking the child’s referral.
3. Fill in the setting or school the child attends, along with their National Curriculum year, if applicable. This information helps determine the context for the referral.
4. Complete the attendance section by marking the days the child is in attendance at the setting or school. Use checkboxes for clarity.
5. Provide the home address and contact number for the parent or carer. This ensures that the primary contact can be easily reached.
6. Input the referrer’s name, job title, and contact details. This section identifies who is making the referral and allows follow-up as needed.
7. Specify the services requested from the Early Years and Childcare team, such as Portage, Outreach Officer, or additional funding requests.
8. Indicate if there are other agencies involved with the child’s care, such as health visitors or educational professionals. List contact names for these agencies.
9. Select the appropriate SEN information/code of practice stage and specify if the child is a Looked After Child. Completing this information is crucial for assessment purposes.
10. Answer the questions regarding concerns, current actions being taken, observed progress, and the child’s strengths. This qualitative information helps tailor the support needed.
11. Indicate the expected outcomes from the EYC's involvement and any known risks if home visits are required. This ensures comprehensive understanding and planning.
12. Parental permission for EYC involvement must be clearly stated. The parent or guardian should sign and date the form in the appropriate section.
13. Once all fields are filled, save your changes. You can then download, print, or share the completed form as necessary.

Begin filling out the Early Years and Childcare Additional Needs Referral Form online today to ensure you provide the best support for the child.