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* What is the main reason for this referral?
LearningBehaviourEmotionalOther
Is the child receiving:
* Learning Support? YesNo
* Resource teaching Support? YesNo
If so, please answer the following:
Learning Support:
Resource teaching support:
Please include the results of Standardised tests done in the last 2 years.
Please comment on the following
* Is the child receiving any Speech and Language or Occupational Therapy interventions?
* Please give details of any in-school interventions being used with the child: please give details about the efficacy of these interventions etc.:
Any additional information or comments:
Consent
I/We understand that the results of this evaluation will be made known to me/us, to the School Principal, and, where the parents and Principal deem it appropriate, to the relevant members of the school staff.
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