SENDIASS: Contact us

We only accept referrals from parents or young people. If you are a professional and would like to recommend us to someone you are working with you can help them to complete this form.

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Child's first name

Child's last name

Child's date of birth

Nursery/school/college

Year group

Parent's first name

Parent's last name

Recommended by

Address

City/Town

Postal Code

Parent ethnicity

Child ethnicity

Start date

Phone number

Email address

SEN Status

Diagnosis or area of need