Pupil referral form

Refer a pupil to pathways.

For school professionals. Allow about five minutes. Leave out the pupil's name, date of birth, address, medical records and other identifying details.

Choose the right route

Schools refer. Families and young people can ask a question.

I work in a schoolContinue to the pupil referral form I’m a family member or young personEmail the team for general information

1. About you and your school

Your name Your role School or education provider Work email Phone number (required if you choose phone) Preferred contact

2. Current attendance picture

Pupil key stage Approximate current attendance Current connection with school Main area of concern

What is becoming difficult?Describe the pattern and main barriers without naming the pupil. 0 / 600 What support is already in place?Optional. A brief summary is enough. 0 / 600

3. Before sending I am making this enquiry in a professional capacity. I have left out the pupil’s name and other directly identifying information.

Submitting sends these details directly to the pathways team. Read the referral privacy summary. For an immediate safeguarding concern, follow your organisation’s safeguarding procedure or contact the appropriate emergency service.