Make a referral · School or Education Enquiry

Refer a student or scope a school program

For principals, wellbeing teams, learning support coordinators and classroom teachers. Use initials rather than full student names.

Your school

School name

School type

State or territory

Your details

Your name

Your role

Phone

What are you referring for?

Referral type

Individual studentGroup or year levelWhole-school programProfessional learning for staff

Year level(s)(optional)

Does the student have an NDIS plan?

Summary of the situation

What is happening, who is involved, what has been tried. Use initials rather than full student names.

I confirm I am authorised to share this information, that the person (or their guardian) has agreed to this referral, and I have read the privacy policy. I understand this form includes health information and will be handled in line with the Australian Privacy Principles.

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What happens next

1We acknowledge your referral or enquiry by email.
2Our team contacts you to talk it through and confirm the right service pathway.
3We confirm the funding arrangement and send a service agreement or proposal.
4A first appointment or scoping meeting is booked. Timing depends on the service requested, Practitioner availability, location, funding arrangements and urgency.

Helpful to have ready

Whether this is one student, a group, or a whole-school program
Whether the student has an NDIS plan or an existing behaviour support practitioner
What has been tried so far and what the school hopes will change
Any funding source in mind: school budget, Department program or NDIS plan

Missing something? Send what you have. We will fill in the gaps with you.

Prefer to talk?

(02) 6257 7222 admin@circlesofsupportplus.com.au

If someone is in immediate danger, call 000.

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