School and Local Authority Enquiry

Thank you for your interest in our Targeted Student Support and EOTAS Provision. Please complete the form below to share details of your enquiry.

After submitting the form, please book a free call with us so we can discuss your enquiry. This can be done using the calendar which will be displayed after you have submitted the form.

Referrer details

Name
Address of school or organisation
Preferred method of contact

Child's / young person's details

*If you do not yet have consent to share personal details, please use initials or a pseudonym for the initial enquiry.
Does the child have an EHCP?
Primary area(s) of need

Current educational situation

Current educational placement

Support requested

Which service(s) are you interested in?
Type of enquiry

Delivery requirements

Where would you like support delivered?
Examples: Improve attendance, re-engage with learning, build confidence, reduce anxiety, support emotional regulation, increase resilience, improve social interaction with peers/adults, improve academic progress, reintegration into school, progress towards EHCP outcomes.

Funding information

How will support be funded?

Additional information

Safeguarding

Are there any safeguarding concerns or risks that we should be aware of before making contact?
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