For any parents or carers of children with additional needs
Click here
to read about the terms in the 'Needs Profile' section below. You can click as many boxes as apply.
*
indicates required
Name:
Email:
Comment:
First Name
*
Last Name
*
Email Address
*
Phone
*
Mobile
Address 1
Address 2
Town
Postcode
*
How did you find out about PCAN?
Needs profile - tick all that apply
Behavioural issues - child with
Consciousness (Epilepsy)
Eating & drinking - assistance
Eating & drinking - disorder
Hearing impairment
Learning disability / difficulty
Learning support in school (no EHCP)
Has EHC Plan
Mental health needs
Mobility difficulties
Multi-sensory impairment
Physical medical conditions
Continence issues
Sensory integration and/or processing difficulties
Uses alternative communication eg. sign or PECs
Social and communication difficulties
Speech and language difficulties
Visual impairment
Wheelchair user
Gastrostomy
Tracheostomy
Hypermobility
Age of child / young person(s)
Under 5 years old
5 - 13 years old
14 - 25 years old
Education
Kirklees - Special school
Kirklees - Additionally Resourced provision
Kirklees - Mainstream
Out of area special school
Out of area resourced provision
Out of area mainstream
Early Years
Kirklees - Alternative Provision
Post 16 education / training/ Employment
College
Special school
Other Further education
Higher education
Apprenticeships / Internships
Employment/Voluntary work
Day Opportunities
Does your child have a diagnosis?
Add/ADHD
Auditory Processing Disorder
Autism Spectrum Condition
Blind or vision impairment
Cerebral Palsy
Cystic Fibrosis
Deaf/Hearing Impaired
Down's Syndrome
Dyscalculia
Dyslexia
Dyspraxia
Eating Disorder, eg. Anorexia,complusive overeating
Epilepsy
Foetal alcohol syndrome
Fragile X syndrome
Global developmental delay
Hemiplegia
Learning Difficulty/Disability
Sensory processing disorder
Other - please email to info@pcankirklees.org