Galaxy-SENDIASS-Make a York SENDIASS referral

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Make a York SENDIASS referral

Use this form to refer yourself or a young person to York SENDIASS.

You'll need to provide your own contact details, as well as the child's details including:

child's name
child's date of birth
details of child's educational setting

Please be aware that our system will 'time out' after 10 minutes spent on each page. We suggest you gather the required information ahead of completing the form, as it's not possible to save a partially completed form, nor to retrieve information if the time out period is reached.

Read the York SENDIASS Privacy Notice.

Have you read the York SENDIASS Privacy Notice? (required)

I have read the Privacy Notice