Kent Educational Psychology Service
Confidential
Appendix 5
Statutory educational psychology advice contributing to an Education
Health and Care Plan
Please note that all of the information in this advice will be copied to
parents/carers and KCC Special Educational Needs Department
CHILD/YOUNG PERSON’S PERSONAL DETAILS
Surname:
Forename:
Address:
Date of Birth:
Postcode:
School:
Gender:
Religion:
Home
Language:
PERSON(S) WITH PARENTAL RESPONSIBILITY
Name(s):
Relation:
Address:
Postcode:
Contact Details:
Home Tel:
Mobile Tel:
Email:
Psychological advice – Appendix 5
Child Name
Name:
Chronological Age:
Year Group:
1. Summary
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Child Name
2. Other Professional or Agency Involvement
3. Basis of assessment
This advice is based on:
4. Background and context
5. Name’s views and aspirations
6. Parents’/Carers’ views and aspirations
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Child Name
7. Current description of Child/Young Person’s functioning and any special
educational needs.
Further detail can be found in section 9, Supporting Evidence.
Sensory, Physical and Health
Attitude and Approaches to Learning
Communication and Interaction
Cognition and Learning (to include educational attainment)
Social, Emotional and Mental Health
Independence, life skills and community involvement
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Child Name
8. Recommendations for areas of need
Sensory and Physical
Long Term Outcome(s)
Step(s) towards outcome(s)
Strategies and interventions to achieve outcomes
Communication and Interaction
Long Term Outcome(s)
Step(s) towards outcome(s)
Strategies and interventions to achieve outcomes
Cognition and Learning (to include educational attainment)
Long Term Outcome(s)
Step(s) towards outcome(s)
Strategies and interventions to achieve outcomes
Social, emotional and mental health
Long Term Outcome(s)
Step(s) towards outcome(s)
Strategies and interventions to achieve outcomes
Independence, life skills and community involvement
Long Term Outcome(s)
Step(s) towards outcome(s)
Strategies and interventions to achieve outcomes
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Child Name
9. Supporting Evidence for Areas of Need

Sensory, Physical and Health

Attitude and Approaches to Learning

Communication and Interaction

Cognition and Learning (to include educational attainment)

Social, Emotional and Mental Health

Independence, life skills and community involvement
Number of Pages:
Name:
Position:
Date of Report:
Signature:
Contact Details:
Kent Educational Psychology Service
Kroner House
Eurogate Business Park
ASHFORD
Kent TN24 8XU
Tel: 01233 898653
Circulation:
SEN
Person/s with Parental Responsibility
Other
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