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This service is for 6-11 year olds living in Newport, South Wales.
Young Person's Gender
Has the young person agreed to counselling?
Reason for referral (tick up to 3 as appropriate)
Are there any current or pending police investigations or court proceedings that relate to the child?
Any other services/professionals involved in child’s welfare (select as appropriate)
Does the young person have special educational needs (SEN) or a disability?
This part of the survey uses a table of questions,
Consider your observations of the child over the last two weeks and respond to the following statements below
As the parent (or legal guardian), I have read and understood the Parent Consent Information & Privacy Notice and I agree to my child receiving counselling.