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Medical Needs Notification

We kindly request your consent for the school to refer your child to the Birmingham Community Health Care Team for medical assessment. As you have indicated a medical need on the admissions form, this referral will assist us in identifying if your child requires a care plan.

Please let us know if you give your consent for this referral by completing the form below.

We would appreciate your response at your earliest convenience.

Pupil Details


If you give consent, please select "Yes" and if you do give consent, please select "No".

Tick one of the following:*

Parent/Carer Details