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Berkshire Sensory Consortium (BSCS)      Pre- School 0-4 years Referral Form - hearing loss
Referral form for Berkshire Sensory Consortium Service
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This form is to be completed by Audiology staff only following confirmation of deafness / hearing loss 
Please note, referrals can only be accepted if the following requirements have been met:
1. Child has an identified, diagnosed deafness / hearing loss
2. Evidence from an audiologist is available to support the diagnosis and/or history
3. Parents have been consulted and have consented to this referral

Upon receipt of the referral we will:
For babies diagnosed through the NHSP contact the family within 2 working days. For preschool children diagnosed outside of the NHSP programme contact will be within 5 working days term time only.   Our referral process can be found on our website: https://www.berkshiresensoryconsortium.co.uk/page/?title=The+Referral+Process&pid=56



If  the referral is accepted we will:

Enter the pupil onto our referral database  
Arrange an assessment visit or visits
Complete the BSCS assessment and provide a written BSCS new referral report within 8 working weeks       including future support if required


The BSCS is funded via a joint arrangement between the Six Berkshire Local Authorities
Bracknell Forest Borough Council
Reading Borough Council
Royal Borough Windsor and Maidenhead
Slough Borough Council
West Berkshire Council
Wokingham Borough Council.

If you have any questions about this form, please email sensory.consortium@achievingforchildren.org.uk or telephone 01628 796786.

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