Who is Involved with Me / Information Gathered Please list the professionals involved with the child / those who have provided information for this EYAR: Contact Report Date of Name Service number attached Report Has information been shared regarding the Local Offer, Yes No Personalisation and Personal Budgets? If no, signpost to www.wigan.gov.uk/sendlocaloffer Should the application progress to an EHC Assessment, do the Yes No family want more information regarding the Local Offer, Personalisation and Personal Budgets? Section 2 My strengths and Current Functioning – Background / My Story Please provide any background information relevant to the needs or child’s situation. Detailed information about specific strengths and needs are requested in the next section.
Who is Involved with Me / Information Gathered Please list the professionals involved with the child / those who have provided information for this EYAR: Name Service Contact number Report attached Date of Report Has information been shared regarding the Local Offer, Personalisation and Personal Budgets? If no, signpost to www.wigan.gov.uk/sendlocaloffer Yes No Should the application progress to an EHC Assessment, do the family want more information regarding the Local Offer, Personalisation and Personal Budgets? Yes No Section 2 – My strengths and Current Functioning Background / My Story Please provide any background information relevant to the child’s needs or situation. Detailed information about specific strengths and needs are requested in the next section.
EYAR-Referral-Form.docx