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Tel: 018998 565956
Address:
Herefordshire
WR13 5JA

Pre-Screening
Form

Before we arrange your free exploratory call

To help us make the most of our conversation, we ask all families to complete a short pre-screening form before booking a free exploratory call.

The information you provide gives us an initial understanding of your child’s strengths, your current concerns and what you hope to gain from assessment. It also helps us ensure that Beacon is the right service for your child and family.

Completing the form does not commit you to booking an assessment, and it is not used to make diagnostic decisions. It simply helps us prepare for our first conversation.

Once you have submitted the form, we’ll be in touch to arrange your free exploratory call.

About You


About Your Child


What Are You Looking For?


Your Concerns


Current Support

Has your child previously:


What Are You Hoping to Gain?

What are you hoping an assessment or consultation will help you understand or achieve?


Additional Information

Is there anything else you would like us to know before arranging your exploratory call?


Consent