Referral forms for Physical Difficulties Support Service.

Please note there are two referral forms. Only one needs to be completed. This depends who is requesting PDSS involvement. 

 

There is a referral form for school/settings to complete if it is the school/settings request.

The parental referral form is for parents/guardians to complete if the request is from parents/guardians.

 

Please let me know if you have any queries, regarding completion of the relevant form. 

 

Please click here to request the relevant referral form in word.doc format

 

Please return completed referral forms to:

 

FAO Mrs Anne Ratcliff

PDSS

St. Edwards Academy

Westwood Road

Leek 

Staffordshire

ST13 8DN


PDSS referral form for school/settings to complete.

Download
PDSS school-setting referral form.pdf
Adobe Acrobat Document 472.2 KB

PDSS referral form for parents/guardians to complete.

Download
PDSS Parental referral form.pdf
Adobe Acrobat Document 462.1 KB