Make a referral

To refer a child or young person to CENMAC you will need to complete the referral form. Before completing the referral form please read our Top Tips for making the process run smoothly (on the right hand side of this page).

If you have any questions please get in touch or email: mail@cenmac.com.

Follow these steps:

Step 1: Download the referral form and save it

Step 2: Complete all the questions as fully as possible (please DO NOT leave any fields blank)

Step 3: Save the completed form

Step 4: Email the completed form along with the supporting information requested (EHCP, IEP, OT, SALT, VI, HI and handwriting/drawing sample as applicable) to mail@cenmac.com.

This application form is by no means conclusive. It is designed to give us a general picture of the pupil you have referred to CENMAC.

Referrals for a Southwark student

If you are wanting to make a referral for a Southwark student, please email directly to sen@southwark.gov.uk requesting you would like CENMAC involvement. The local authority will then send you a referral form.

Top Tips

  • Permission must be sought from the child or young person’s home LA for funding before CENMAC can assess them, so think of this as a “grant” application and give as much information as you can. It will help the LA make a decision and CENMAC to arrive at the assessment well informed.
  • Your completed form is sent to the LA as part of the request for funding so what you say is important.
  • Please explain the difficulties the pupil is having and let us know what has already been tried.
  • Don’t state that a specific piece of equipment is required! If you offer the solution the LA is unlikely to fund a request for CENMAC’s support and advice. Remember CENMAC is an advice and support service (NOT a loan library).
  • Complete the form as fully as possible. Please do not answer “N/A” or leave blank the question on page 2 regarding physical difficulties.
  • Make sure that the supporting information requested (EHCP, IEP, OT, SALT, VI, HI and handwriting/drawing sample as applicable) are included with the form. If any of the above are inappropriate, please say so on the form.
  • If any of the supporting documents are password protected please remove the protection or you will need to include the password in your email.