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
Contents
  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:

The Key has taken great care in publishing this article. However, some of the article's content and information may come from or link to third party sources whose quality, relevance, accuracy, completeness, currency and reliability we do not guarantee. Accordingly, we will not be held liable for any use of or reliance placed on this article's content or the links or downloads it provides. This article may contain information sourced from public sector bodies and licensed under the Open Government Licence v3.0.