Primary school transition statement
Student’s personal details
Student’s details
Name
DOB
Address
Postcode
Family details
Parent’s names
Siblings
Primary school contacts
Name
School
Email
Phone
Name
School
Email
Phone
Other professionals involved
Name
School
Email
Phone
Name
School
Email
Phone
Transition Co-ordinator
Name
Email
70 Autism Spectrum Disorders
Phone
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Planning a successful transition to primary school
ASD: Primary school transition statement
Diagnosis and assessment information
Diagnosis
Diagnosed by
Date of Diagnosis
Cognitive assessment
Date of assessment
Results
Communication assessment
Date of assessment
Results
Adaptive skill development
Date of assessment
Results
Other
Date of assessment
Results
ASD: Primary school transition statement
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Primary school transition statement
Current ASD symptoms
Social
Communication
Behaviour, interests and activities
Health and associated features
Health
Diet/Eating
Sleep
Fine and Gross Motor
Sensory Disturbance
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Planning a successful transition to primary school
ASD: Primary school transition statement
Cognitive profile, thinking and learning
What are the child’s strengths, weaknesses?
What are the child’s particular areas of interest or talent that motivates him/her?
Is the child easily distracted?
How does the child cope with change?
Does the child persist with difficult tasks?
ASD: Primary school transition statement
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Primary school transition statement
Can the child generalise skills and learning (people, settings and equipment)?
What does the student do when confused or anxious?
Can the student organise and sequence information?
Emotional and behavioural difficulties (anxiety, depression)
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Planning a successful transition to primary school
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ASD:Primary
ASD: Primaryschooltransition
school transitionstatement
statement
Current successfulstrategies
Other
ASD: Primary school transition statement
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