Other children in household (Please indicate with a * against the name if this request is also for any other of the children) Surname Forenames Gender Date of Relationship to School/Early Ethnicity* Birth child Years Setting (Tab down to increase rows) Significant others/other family members Surname Forenames Gender Address Date of Relationship Parental Ethnicity* and Tel No Birth to child Responsibility (Tab down to increase rows) * Please use options outlined in Section 6 of this form. Safeguarding Child in Care Child in Need Child Protection Other Plan Is a If yes, give lead professional’s details: Support in place for this child? Do you know if a DASH If yes, was it categorised as High, Medium or Standard. assessment has been done? Date of assessment: Please provide any relevant details the family or child (eg culture, Traveller community, HM forces, religion, learning or communication needs, recent changes in circumstances, disability etc)
Other children in household (Please indicate with a * against the name if this request is also for any other of the children) Surname Forenames Gender Date of Birth Relationship to child School/Early Years Setting Ethnicity* (Tab down to increase rows) Significant others/other family members Surname Forenames Gender Address and Tel No Date of Birth Relationship to child Parental Responsibility Ethnicity* (Tab down to increase rows) * Please use options outlined in Section 6 of this form. Safeguarding Child in Care Child in Need Child Protection Plan Other Is a Support in place for this child? If yes, give lead professional’s details: Do you know if a DASH assessment has been done? If yes, was it categorised as High, Medium or Standard. Date of assessment: Please provide any relevant details the family or child (eg culture, Traveller community, HM forces, religion, learning or communication needs, recent changes in circumstances, disability etc)
early-help-hub.docx