Elsa referral form 2025

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The document outlines the ELSA (Emotional Literacy Support Assistance) program, detailing the process for student referrals, session agreements, and reviews. It includes a record for students to set targets and reflect on their progress during six sessions aimed at addressing emotional difficulties such as social skills, anger management, and self-organization. The document also contains letters to parents regarding their child's participation and progress in the program.

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Click ‘Get Form’ to open the elsa referral form in the editor.
Begin by entering the student’s name and tutor group at the top of the form. This information is essential for identifying the student receiving support.
Fill in the date of referral, ensuring accuracy for record-keeping purposes.
In Section A, summarize the difficulties experienced by the student. Be specific to provide clarity on their needs.
In Section B, list previous strategies attempted to address these difficulties. This helps track what has been tried before.
For Section C, suggest SMART targets that you hope to achieve through ELSA intervention. This section is crucial for setting clear goals.
Finally, ensure all signatures are completed at the bottom of the form before submitting it for review.

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Versions	Form popularity	Fillable & printable
2022	4.1 Satisfied (31 Votes)
2022	4.8 Satisfied (116 Votes)
2022	4.1 Satisfied (60 Votes)
2022	4.8 Satisfied (112 Votes)
2022	4.5 Satisfied (52 Votes)
2021	4.5 Satisfied (41 Votes)
2021	4.9 Satisfied (26 Votes)
2021	4.8 Satisfied (66 Votes)
2021	4.9 Satisfied (40 Votes)
2021	4.8 Satisfied (179 Votes)
2020	4.4 Satisfied (24 Votes)
2020	4.7 Satisfied (56 Votes)
2020	4.8 Satisfied (127 Votes)
2020	4.7 Satisfied (43 Votes)
2020	4.2 Satisfied (44 Votes)

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is an Elsa referral?

How does ELSA work: Children are usually referred for ELSA support by their class teacher, Senior Leaders or on occasion the SENDCo. Every half term we meet as a Mental Health Team, to discuss the referral forms and to identify and prioritise which children require a weekly programme for the next 6-8 weeks.

What are the requirements for Elsa?

A referral form is a document that is used to collect information about potential customers, clients, or patients who have been referred to a business or service by an existing customer, client, or patient.

How do I create a referral form?

In order to train and practise as an ELSA, it is a requirement to work within an organisation working directly with children. This is usually a school and sometimes a preschool or college. ELSAs are required to have supportive line management within their organisation in order to ensure accountability.

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