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Internal SEN referral form: template and examples

Download our template form designed to help teachers refer a pupil to your SENCO, and see examples of an internal SEN referral form to help you create your own.

Last reviewed on 2 July 2024
School types: All•School phases: All•Ref: 11018
Contents
  1. Download our template
  2. Look at 2 more examples 

Download our template

KeyDoc: internal SEN referral form DOCX, 129.4 KB
Download

Distribute this template to staff, so they can easily make special educational needs (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 of an internal SEN referral form, from a SENCO and a support group, to help you create your own:

Read next

Also in "Identifying SEN and running interventions"