Referral form

One clear route for every referrer. A senior team member acknowledges every referral within 24 hours.

Referrer details

Type of referral

Organisation nameIf applicableLocal Authority teamIf applicable

Your name

Your emailYour phone number

Student details

Full name

Date of birthGenderYear group

Current school or placementHome address

Parent or carer details

Parent or carer name

Parent or carer emailParent or carer phone

Documents and consent

EHCP uploadPDF or Word document, up to 6MB. OptionalSupporting documentsYou can select more than one fileI confirm appropriate information-sharing permissions are in place for this referral.I consent to Parity Education arranging a home visit or introductory meeting to assess whether needs can be met.

We handle these details in line with our privacy notice.

Referral form

Referrer details

Student details

Parent or carer details

Referral information

Documents and consent