Internal SEN referral form: template and examples

Download our template form designed to help teachers refer a pupil to your SENCO, and see 2 more examples of the referral form to help you to create your own.

Last reviewed on 13 January 2022
School types: AllSchool phases: AllRef: 11018
  1. Download our template
  2. Look at 2 more examples

Download our template

KeyDoc: SEN referral form DOC, 185.5 KB

Distribute this template to staff so they can easily make SEN referrals to your SENCO in a standardised way.

Make sure all teachers are aware of the proper channel to submit the referral form, so you can process the referrals as quickly as possible.

Look at 2 more examples

Have a look at these 2 further examples, from a SENCO and from a support organisation, to help you create your own referral form:

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