SEND Concern/Referral Form

SEN Concern Form

A simple, editable form for staff to raise an initial concern about a pupil’s learning, behaviour, social/emotional wellbeing, or communication needs. Designed to feed into the SEN referral process ahead of formal assessment or EHCP consideration.

Includes:

Pupil and class details, date raised, referring staff member
Nature of concern (academic, SEMH, communication, sensory, physical)
Description of concern with examples/evidence
Strategies already tried in class
Parent/carer awareness (yes/no, date informed)
Space for SENCo action/next steps

Format: Editable Word document, ready to print or complete digitally.