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Request for Involvement of SEND Support Services

Please read the eligibility criteria for these services before completing this form:

Eligibility Criteria for SEND Support Services 

Any referral submitted without a parent/carer consent form will not be processed:

SEND Support Services Parent/Carer Consent Form


Information about the Learner

Learner details



Parent/Carer/Additional Adults with Parental Responsibility




Please enter details of a second parent/carer/additional adult below:



Learner's information







Make sure you can show parents/carers our data privacy notice upon request:

Data Protection Act – Privacy Notice

We, Together for Families Directorate, Cornwall Council, New County Hall, Truro, TR1 3AY, Data Protection Registration Number: Z1745294 are committed to protecting and respecting your privacy.

This information is being collected by SEND Support Services, on behalf of Cornwall Council as Data Controller for the purpose of determining the educational needs of the named pupil. The SEND Services are:

Data on you or your child may also be shared with other relevant professionals who are SEND Support Services, Educational Psychologists, Statutory SEND 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 TFF data retention policy after which time it will be destroyed in a secure manner.

A copy of our Privacy Notice can be found at www.cornwall.gov.uk/tffprivacynotice. 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 tffdpa@cornwall.gov.uk or the Council's Data Protection Officer dpo@cornwall.gov.uk

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 via contact details listed above.

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