Make A Referral

Please follow the steps below to refer your child for an assessment. If you have any questions about the assessment process, take a look at the Assessment FAQ  page.

1. Download Forms

This is the quickest way to make a referral.

Click the button to download a Referral Form and Parent/Carer Information Form. These forms help me to plan what tests to use.

 and March The fees are listed on the Referral Form.

There is also a School/Nursery Information Form to be completed by your child’s educational setting. I do not carry out assessments without School/Nursery involvement. If you have any concerns with regards to this, please telephone to discuss further.

I am currently booking assessments for March and April 2022. 

Please read the second set of instructions below BEFORE submitting the referral forms. Thank you.

2. Complete And Email Forms


If you would like to proceed with an assessment, please email all 3 forms back to me, then we can set a date. Please check to ensure you answer all questions on the forms.

If your child is home educated, the School/Nursery Information Form does not need to be completed.

If your child has an EHCP and/or reports from other professionals, please also send these through with the referral forms. It is particularly important that I see reports with test scores and/or diagnoses, even if they are from when your child was much younger.

Assessment dates will only be offered after all the documents listed above have been received.

Email completed forms directly to

If your child has recently started a new school, please ask their previous setting to also complete the School Information form, and let me know if there are any problems arranging this.

Most assessments take place in your home. However, where there are concerns with behaviour difficulties, children are sometimes better suited to having assessments at their school. I can advise further once I have read the referral forms. If there are concerns regarding social skills or aggressive/unusual behaviours, then an observation at school is recommended.

If you need help to read or type on the forms, please telephone me: 07540 529661

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