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Referral criteria and further information.
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Parental consent for information gathering from any professional detailed on this form is required in order to process this referral.
*NB: For SENCO referrals, it is compulsory that the child has completed 2x 8week Physical Literacy interventions and little progress has been seen. Please also supply evidence.
Please describe your main concerns for the child/young person in the relevant areas below:
Referrals received will be triaged and a decision made whether or not the referral meets our service specification criteria.
Acknowledgement regarding referral acceptance will be sent to the referrer, and patient/carer. If the referral is not accepted, it is the referrer’s responsibility to liaise with parents/carers.