(e.g. Speech and Language Therapist, Physiotherapist, Occupational Therapist, Audiologist, Orthoptist other Cornwall Council SEN Support Services). Yes No ☐ ☐ I have read and accept the data protection information in the box below. Yes ☐ Data Protection Act Notice –Privacy We, Children, Schools and Families Directorate, Cornwall Council, New County Hall, TR1 3AY, Data Protection Registration Number: Z1745294 are committed to protecting and respecting your privacy. This information is being collected by SEN Support Services, on behalf of Cornwall Council as Data Controller for the purpose of determining the educational needs of the named pupil. The SEN Services are : Augmentative and Alternative Communication Team: Cognition and Learning Service: Hearing Support Team: Physical and Medical Needs Advisory Service: Vision Support Team: Data on you or your child may also be shared with other relevant professionals who are SEN Support Services, Educational Psychologists, Statutory SEN Service staff, teachers, relevant health staff (Speech and Language Therapist, Physiotherapist, Occupational Therapist, Audiologist, Orthoptist and social workers, to inform their work. The data held relating to the delivery of support by the relevant Support Service (listed above) to your child will be used both for the provision of services and also for performance and service planning. This information will be held in a secure environment until the individual’s 30th birthday in accordance with the CSF data retention policy after which time it will be destroyed in a secure manner. A copy of our Privacy Notice can be found at . This Privacy Notice sets out the basis by which any personal data we collect from you, or that you provide to us, will be processed by us, in accordance with the General Data Protection Regulations (GDPR) and the Data Protection Act. For further information or assistance on Data Protection matters, please contact the Practice Development and Standards Service on 01872 327617 or e-mail Or the Councils Data Protection Officer You have the right to withdraw consent to the processing of your data at any time and your further rights as to how we handle your data can be found by following the above link. Should you wish to withdraw your consent please contact the relevant team - see contact details listed above. Additional Parent/Guardian comments: Name of child/young person: Parent/Guardian signature: Print Name: Date:
(e.g. Speech and Language Therapist, Physiotherapist, Occupational Therapist, Audiologist, Orthoptist other Cornwall Council SEN Support Services). Yes ☐ No ☐ I have read and accept the data protection information in the box below. Yes ☐ Data Protection Act –Privacy Notice We, Children, Schools and Families Directorate, Cornwall Council, New County Hall, TR1 3AY, Data Protection Registration Number: Z1745294 are committed to protecting and respecting your privacy. This information is being collected by SEN Support Services, on behalf of Cornwall Council as Data Controller for the purpose of determining the educational needs of the named pupil. The SEN Services are : Augmentative and Alternative Communication Team: Cognition and Learning Service: Hearing Support Team: Physical and Medical Needs Advisory Service: Vision Support Team: Data on you or your child may also be shared with other relevant professionals who are SEN Support Services, Educational Psychologists, Statutory SEN Service staff, teachers, relevant health staff (Speech and Language Therapist, Physiotherapist, Occupational Therapist, Audiologist, Orthoptist and social workers, to inform their work. The data held relating to the delivery of support by the relevant Support Service (listed above) to your child will be used both for the provision of services and also for performance and service planning. This information will be held in a secure environment until the individual’s 30th birthday in accordance with the CSF data retention policy after which time it will be destroyed in a secure manner. A copy of our Privacy Notice can be found at . This Privacy Notice sets out the basis by which any personal data we collect from you, or that you provide to us, will be processed by us, in accordance with the General Data Protection Regulations (GDPR) and the Data Protection Act. For further information or assistance on Data Protection matters, please contact the Practice Development and Standards Service on 01872 327617 or e-mail Or the Councils Data Protection Officer You have the right to withdraw consent to the processing of your data at any time and your further rights as to how we handle your data can be found by following the above link. Should you wish to withdraw your consent please contact the relevant team - see contact details listed above. Additional Parent/Guardian comments: Name of child/young person: Parent/Guardian signature: Print Name: Date:
sen-support-serivce-parental-consent-form.docx