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Blackpool SENDIASS Referral Form

1. Making a Referral

Blackpool SENDIAS Service operate a 'self-referral' process.  However, we may also accept referrals from schools, nurseries, colleges and other partners on the strict understanding that consent has been given for the referral by the parent, carer or young person.

If you have spoken to us previously there is no need to fill in the referral form, please contact us directly on 

Telephone- 01253 477083    

Email: iassblackpool@point-send.co.uk

 

 

We respond to referrals within 48 hours.

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Question 1.

Child/Young Person's Details

- Required.
This question requires an answer
*
Question 2.

Child/Young Person's Date of Birth

- Required.
*
Question 3.

Child/Young Person's SEN Stage

- Required.
*
Question 4.

Child/Young Person's Address

- Required.
This question requires an answer
*
Question 5.

Child/Young Person's Setting / School / College name

- Required.
*
Question 6.

Other Professional/s involved

- Required.
*
Question 7.

Please advise what support you require

- Required.
This is required
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