Name of GP: GP contact no. GP email: GP Address: GP Commissioning Authority (if known): Has there been an Yes / No Date of Early Early Help Help Assessment? Assessment: Has the child / young Yes / No Dates when From: person been open to child / young To: social care? person was open to social care Is there currently an Yes / No Contact no. allocated worker in Mobile no. social care: Is the child / young Yes / No Who has person LAC (Looked parental After Child) responsibility if LAC: Current Education Date started: Provision: Previous Education Placements, if applicable Start Date End Date Reasons for the Education Provider decision to request a Statutory Assessment:
Name of GP: GP contact no. GP email: GP Address: GP Commissioning Authority (if known): Has there been an Early Help Assessment? Yes / No Date of Early Help Assessment: Has the child / young person been open to social care? Yes / No Dates when child / young person was open to social care From: To: Is there currently an allocated worker in social care: Yes / No Contact no. Mobile no. Is the child / young person LAC (Looked After Child) Yes / No Who has parental responsibility if LAC: Current Education Provision: Date started: Previous Education Placements, if applicable Start Date End Date Reasons for the Education Provider decision to request a Statutory Assessment:
sa1_updated_october_2016_uploaded_nov_2017.docx