Request for EHC Needs Assessment for pupils with Support Plan’ ‘My Name of Pupil: Name of Setting: Name and role of person submitting the request: Please summarise the reasons for requesting an EHC Needs Assessment Please identify the primary area(s) of need Cognition and Moderate Specific Learning Severe Learning Profound and Learning Difficulties Difficulties Multiple Learning Learning Difficulties Difficulties Communication Speech and Autistic Spectrum Social language Disorder Communication and Interaction difficulties Difficulties Social, Social Difficulties Emotional Other SEMH ADD/ ADHD Difficulties Emotional and Mental Health Physical and Physical Visual Impairment Hearing Medical difficulties Impairment Difficulties Sensory Needs Supporting Evidence Checklist Completed My Plan (with Current My Plan Attendance Summary review)
Request for EHC Needs Assessment for pupils with ‘My Support Plan’ Name of Pupil: Name of Setting: Name and role of person submitting the request: Please summarise the reasons for requesting an EHC Needs Assessment Please identify the primary area(s) of need Cognition and Learning Moderate Learning Difficulties Specific Learning Difficulties Severe Learning Difficulties Profound and Multiple Learning Difficulties Communication and Interaction Speech and language difficulties Autistic Spectrum Disorder Social Communication Difficulties Social, Emotional and Mental Health Social Difficulties Emotional Difficulties Other SEMH ADD/ ADHD Physical and Sensory Needs Physical difficulties Visual Impairment Hearing Impairment Medical Difficulties Supporting Evidence Checklist Completed My Plan (with review) Current My Plan Attendance Summary