Request an EHC Needs Assessment - parent

Request an Education, Health and Care Needs Assessment for your child if they are below the age of 16.

Request an EHC Needs Assessment - parent

  • This form will take approximately 15 minutes to complete.
  • Please allow yourself enough time to complete this form in one session as there is not an option to save and come back to it later.
  • The questions marked with an asterisk (*) are mandatory and require an answer. You do not have to answer all of the other questions, but it would help us if you do.
  • We advise that you review the Education Health and Care guidance document before submitting your request. This document provides helpful information regarding the thresholds for assessment, as well as information about how requests are considered.

Your data privacy

Before completing this form please read our general Privacy Policy (opens in a new window).

This explains why we ask for your data, what we do with it and how long we will keep it. It also explains how you can find out what data we hold about you and how you can ask us to delete it.

Your details

Enter your first name.
Enter your last name.
Enter your address name or number. This could be your flat, house or building name or number.
Enter the first line of your address. This could be your street name.
Enter the second line of your address if you need to. This could be your village name.
Enter the town or city of your postal address.
Enter your postcode, with or without spaces.
Enter an email address where we can write to you.
Enter a daytime phone number that we can ring you on. This can be a mobile or land line number.
Enter another phone number we can reach you on. This can be a mobile or land line number.
Tick to confirm you have completed the online checklist before starting this request.

Child's/young person's details

Enter their first name.
Enter their last name.
Enter the child's date of birth using numbers following the format dd/mm/yyyy, for example 01/12/2000.
Do they live with you at the address already provided Select 'Yes' if they still live at the same address already provided.,
Gender Select their gender.
Enter the child's ethnicity.
Enter the child's home language.
Enter the name of the school.
Have you discussed this request with your child’s school? * Select 'Yes' if you have discussed this request with your child's school.
Enter details below.

Further information


This information will be used to consider the suitability of Education Health and Care Needs Assessment for your child.

In order to do this we may need to share the details in this assessment request form with other organisations or services.

We are obliged to share information if there are any concerns about the safety and/or wellbeing of a child, young person and/or adult and if there are clear reasons for doing so which are in the best interests of a child, young person and/or adult.

Enter any further details to support your request.
Attach any supporting document to support your request.
Upload a second file or photo Select 'Yes' if you want to upload another file or photo.
Upload a third file or photo Select 'Yes' if you want to upload another file or photo.

Freedom of information and data protection


Your details will be used in accordance with the Freedom of Information Act (FOIA) 2000 and the Data Protection Act (DPA) 1998 or other appropriate legislation, and will be stored electronically.

If information you have provided is personal, as defined under the DPA, we will only use it for the purpose for which you provided it. We only share your personal data with a third party if we are required to do so by law or if we need to in order to provide the service you have requested.

Declaration


I am in agreement with the request for an Education, Health & Care Needs Assessment.

I agree to West Sussex County Council seeking any relevant information from other professionals to help them in deciding whether it is necessary to carry out an Education, Health & Care Needs Assessment.

If an Education, Health & Care Needs Assessment is approved I agree to West Sussex County Council seeking further professional advice and/or assessment to help them decide whether it is necessary to issue an Education, Health and Care Plan.

Enter your full name to confirm you agree to the above statements.

Submitting your form

Click the submit button only once.

Please be patient as it will take a few moments to process your form and redirect you to our confirmation page.

 
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  • West Sussex County Council will only use this email address to respond to any issues raised.