Waltham Forest Children s Disability Register

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Leonard Richard
7 years ago
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1 Waltham Forest Children s Disability Register What is the Waltham Forest Children s Disability Register? The Children Act 1989 requires all local authorities to maintain a Children s Disability Register. This is a record of the details of children in the borough who have a disability or additional needs. Registration with the Children s Disability Register is voluntary, and a child will only be added at their parent/carer s request. It is not an eligibility register, and will not affect your entitlement to services. A parent/carer may have their child s name and details removed from the database at any time. Why should I register? The Children s Disability Register is a service planning tool. By building a clear picture of children with disabilities and additional needs, agencies in Waltham Forest will be able to plan appropriate services for these young people, and their families. By registering with the Children s Disability Register, parents/carers can be kept up-to-date with information about events, activities and services available locally. Who can register? Any child or young person aged up to 19 years who has a physical or mental impairment that has a substantial and long-term adverse effect on his or her ability to carry out normal day-to-day activities is eligible for the Children s Disability Register. This might include, but is not limited to, conditions that affect: Learning Physical ability Vision Hearing Communication Behaviour Long-term health, including terminal sickness

2 How can I register? To register your child with the Waltham Forest Children s Disability Register, simply fill out the registration form and return to: Waltham Forest Family Information Service Emmanuel Community School The Drive Walthamstow E17 3BN If you need help completing the registration form, or would like to further discuss the Children s Disability Register in person, please contact the FIS Team at wffis@walthamforest.gov.uk or The Waltham Forest Children s Disability Register is not an eligibility register and will not affect entitlement to receive services.

3 Personal Details Child/young person s name:... Date of birth:... Gender: Male Female Address: Postcode:.. Telephone:... Mobile: Name & Address of Pre-school/ Nursery/school/college: Name of Parent/Carer: Address of parent/carer (if different from above):

4 Effects of Additional Needs or Disability Has your child been given a medical diagnosis? Yes Please specify: No Please describe your child s additional needs & how they are affected: Does your child have a Statement of Special Educational Needs Yes No If yes what is the level on the Educational Resource Ladder?... Name & Address of GP Please identify the category into which your child s MAIN disability/ additional needs falls (please select one only): Behaviour - socially unacceptable behaviour condition... Communication - speech/language... Consciousness - fits/seizures... Diagnosed with Autism or Asperger Syndrome... Hand function - holding and touching.. Health - long term illness... Hearing with speech... Hearing without speech... Incontinence... Learning - special educational needs... Support Services Please identify which professionals your child/young person is having/has had contact with: Health Visitor... Special Needs Health Visitor... Speech and Language Therapist... Occupational Therapist... Physiotherapist... Community Nurse... Paediatrician/Consultant.... Social Worker... Mental Health Services (NELFT)... Educational Psychologist... Clinical Psychologist... Advisory Teacher for Special Education. Mental Health... Mobility - getting about the house and beyond... Other disability... Personal care... Vision...

5 Please indicate which services support the needs of your child/young person: Social Provision I use this service Name of Provider (if known) I would like more information Breakfast/After School Club Befriending/Volunteering Service Children's Centre Childminder Direct Payments Help in the Home Holiday Scheme Independence Training Long Term Foster Care Long Term Residential Care Mainstream Childcare Residential Holiday Respite Care Short Breaks Sitting Service Special Needs Childcare Youth Services

6 Education Provision I use this service Name of Provider (if known) I would like more information Educational Psychology Service Joseph Service for Visually Impaired Children Parent Partnership Portage Mainstream school/college Special Needs school/college Home Tuition Social Services Children with Disabilities Team First Response Team Children and Family Consultation Service Occupational Therapist Sensory Resource Team Special Needs school/college Home Tuition Financial Report Disability Living Allowance -Care I use this service I would like more information Disability Living Allowance Mobility Incapacity Benefit (For 16+) Carer's Allowance Income Support Other Benefits

7 Please give details of any other services that your child/young person uses, or comments about the services you would like to see provided for him/her. Do you anticipate that your child/young person will need supported/ specialist housing in the future? Yes No Not sure Other Comments Please feel free to write any other comments you have that may be useful to the Children s Disability Register and its aims:

8 Confidentiality The information you have given will be treated as confidential. Only key professionals in Education, Health and Social Care will have access to the Children s Disability Register, and the information will be used only for planning future services. You will be contacted every two years to check the details for accuracy, and to ensure that you would like your child to remain on the Children s Disability Register. However, you may request to have your child s details removed at any time. The information held on the Children s Disability Register is held in Compliance with the Data Protection Act The Waltham Forest Children s Disability Register is not a register of entitlement. Please sign below to confirm that you understand the above, and wish for your child s details to be added to the Waltham Forest Children s Disability Register. Signature Date... Print Name Please return this form to: Waltham Forest Family Information Service Emmanuel Community School The Drive Walthamstow E17 3BN If you have any enquiries, please wffis@walthamforest.gov.uk

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