This referral form is for:
Please fill in all relevant sections of the form – failure to do so could lead to a delay in support
In the interest of safeguarding, we need to know that parents/guardians are aware that we have been requested to provide support for their child and that their consent has been given before support commences.
The information which you give when completing your initial referral form will be used in accordance with the Data Protection Act 1998 and for the following purposes: to enable EMTAS to create an electronic and paper record of your referral; to enable the referral process to be initiated; to enable the compilation of a Profile Report Document; to enable EMTAS to compile statistics, or to assist other organisations to do so, provided that no statistical information that would identify the pupil as an individual will be published. The information will be held securely, and in accordance with the retention schedule for documents including sensitive personal information.
Please see our Privacy Statement.
Hampshire County Council, The Castle, Winchester, Hampshire, SO23
© Copyright Hampshire County Council 2012.