Early Years SEND
Early Years Referral form
The new Early Years Referral form can be downloaded by clicking the button below. This form should now be used by all practitioners for all referrals, whether for whole setting support or for support for individual children, and replaces all previous forms.
Please delete all previous forms and use just this one for all your Early Years referrals. To ensure you always use the latest version we suggest you download a new form from this webpage before making each referral.
Our new email address should be used for all Referral Forms and as well as all other Early Years enquiries, please email: firstname.lastname@example.org
Multi-Agency Planning (MAP) group
Please note: there is now a new process in place for referrals into the Multi-Agency Planning (MAP) group.
Please contact your Early Years Lead Advisor (EYLA) in the first instance.
Gloucester and Forest:
Bev Green, email@example.com. Mobile: 07796 183794
Kim Nicholls, firstname.lastname@example.org. Mobile: 07796 610433
Charlotte Smith, email@example.com. Mobile: 07741 097323
Cheltenham and Tewkesbury:
Ruth Price, firstname.lastname@example.org. Mobile: 07796 610496
Sarah Cousins, email@example.com. Mobile: 07769 886126
Stroud and Cotswolds:
Catherine Hardwick, firstname.lastname@example.org. Mobile: 07909 937184
Steph Kirby, email@example.com. Mobile: 07818 858474
or email: firstname.lastname@example.org
Referrals to MAP group should be made for a child who has:
- Medical/educational needs requiring additional support with learning/development.
- Additional needs that have not been met by following the graduated approach as outlined in the SEN Code of Practice/Gloucestershire Guidance Booklet for Professionals working with Children and Young People with SEND.
Referrals can be made to MAP group to apply for inclusion grant funding or other assistance to help support a child and the setting they attend.