Need Ranking Please indicate below any medically diagnosed conditions (eg ADD, ADHD, Cystic Fibrosis, Downs, MS, MD, Epilepsy, etc) Communication and interaction: Autism (including Asperger’s syndrome) (ASD) Speech, Language & Communication Difficulties (SLCN) Cognition and learning: Moderate Learning Difficulties (MLD) Severe Learning Difficulties (SLD) Specific Learning Difficulties (SpLD) Profound and Multiple Learning Difficulties (PMLD) Social, emotional and mental health difficulties: Social, emotional and mental health difficulties Sensory and/or physical Physical Difficulty (PD) Hearing Impairment (HI) Visual Impairment (VI) Impairment (VI) 7 Checklist of essential documents attached Document Attached? Document NO Document Required Attached? please indicate why YES document is missing The Child’s One Page Profile or similar document Child’s/Young Person’s View the child/young person – 7a should be encouraged to contribute. This may be done either through the school or via the parent in a format appropriate to the child’s/young person’s needs either a – One Page Profile or similar document:
Need Ranking Please indicate below any medically diagnosed conditions (eg ADD, ADHD, Cystic Fibrosis, Downs, MS, MD, Epilepsy, etc) Communication and interaction: Autism (including Asperger’s syndrome) (ASD) Speech, Language & Communication Difficulties (SLCN) Cognition and learning: Moderate Learning Difficulties (MLD) Severe Learning Difficulties (SLD) Specific Learning Difficulties (SpLD) Profound and Multiple Learning Difficulties (PMLD) Social, emotional and mental health difficulties: Social, emotional and mental health difficulties Sensory and/or physical Physical Difficulty (PD) Hearing Impairment (HI) Visual Impairment (VI) Impairment (VI) 7 Checklist of essential documents attached Document Required Document Attached? YES Document Attached? NO please indicate why document is missing 7a The Child’s One Page Profile or similar document Child’s/Young Person’s View – the child/young person should be encouraged to contribute. This may be done either through the school or via the parent in a format appropriate to the child’s/young person’s needs – either a One Page Profile or similar document:
statutory-school-request-for-ehc-needs-ass-form-working-draft-nov-17.docx