EHC Assessment Request

Information sharing & data protection Statement

We will use the information in this form to consider whether to conduct a needs assessment under the requirements of the Children & Families Act 2014.

We may also share relevant information on a confidential basis with the Department for Education or other Government agencies and public bodies as required to meet our statutory obligations.

The information that you and other professionals provide will normally be shared with your consent. Examples of situations when we may share information without your consent are:

  • If we need to find out urgently if a child is at risk of harm or we need to help a child who is at risk of harm.
  • If we need to help an adult who is at risk of harm.
  • If we need to help prevent or detect a serious crime.
We have also published a detailed Privacy Notice regarding the information we collect, the purposes for which it is required, and how you can access data we hold about you.

Consent

I understand the information gathered will be stored and used for the purpose of deciding whether to conduct an assessment and/or provide an Education, Health and Care Plan and/or in recommending other services to me.
By ticking this box I agree to the gathering and sharing of information between my educational setting, health services, social care or other professionals as necessary to support the EHC needs assessment and planning process.

1

Details of person requesting an EHCP Assessment

2

Child or young person's details

Child or young person's details

Not applicable
A value of 0 means the child or young person is in their age expected year group.

3

Child or young person's main contacts (family and involved professionals)

4

Details of the child or young person's current education setting(s)

Please search and select a setting
The setting's details will be displayed here once selected.

5

Important information about the child or young person

6

Views of the child or young person and their parent, carer or guardian

a

Views and opinions of the child or young person

b

Views and opinions of the parent(s) or carer(s)

Draft