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Educational Psychology Service, School Referral Form

Should you have any queries about the form please contact your school’s named Educational Psychologist or Senior Educational Psychologist based at the local office.

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  • Educational Psychology Service Stage 3 Referral Form [doc / 141KB] This form is confidential to parents/persons responsible for and those professionally involved with the child. This form together with the accompanying Appendix A 'Equality Monitoring' form should be completed only when referral at Stage 3 of the Code of Practice has been agreed following Consultation with the Educational Psychologist.
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