EDUCATIONAL PSYCHOLOGY SERVICE STAGE 3 REFERRAL FORM - WELB 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin with SECTION 1: PERSONAL DETAILS. Fill in the child's name, address, date of birth, and other personal information. Ensure accuracy as this section is crucial for identification.
  3. Move to SECTION 2: REASON FOR REFERRAL. Indicate the difficulties faced by the child in order of priority. This helps in understanding the specific needs.
  4. In SECTION 3: BACKGROUND INFORMATION, describe the nature of the child’s difficulties and any contributing factors. This provides context for the referral.
  5. Complete SECTION 4: DESCRIPTION OF CHILD’S FUNCTIONING by detailing cognitive abilities, language skills, and motor skills. This section is vital for assessing developmental needs.
  6. Proceed to SECTION 8: PRINCIPAL’S AGREEMENT TO REFERRAL. Ensure that the principal signs and dates this section to confirm agreement.
  7. Finally, review all sections for completeness before submitting your form through our platform.

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