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Important notice for Therapeutic Support referrals

You must have your information to hand before starting this form.

On page two, you will be asked to provide details for the following questions:

  1. Key significant risks identified for child/young person and summary of how these are supported.
  2. The child or young person's strengths are.
  3. The child or young person struggles with.
  4. Does the child or young person have any interests or hobbies?
  5. Expand on the issues you have ticked above to provide further information/issues relevant to the referral. This is important for us to decide the level of support required.
  6. Why does the young person think they have been referred?
  7. What are their comments and feelings about accessing support?

You will also be asked to provide the following stats.

  • Child or young person's attendance figure (%) for the term prior to referral
  • How many fixed-term exclusions the child/young person has had this school year
  • Current working grade for English
  • Current working grade for Maths
  • End of year target grade for English
  • End of year target grade for Maths
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