Make a referral

To refer a child or young person to CENMAC you will need to complete a referral form:

Complete Referral Form 1 for advice on Assistive Technology (AT) for learning only.
Complete Referral Form 2 for advice on Assistive Technology (AT) for learning as well as Augmentative and Alternative Communication (AAC) for communication.

Before completing a referral form please read our Top Tips for making the process run smoothly (on the right hand side of this page). You can also download our Top Tips here.

If you have any questions please get in touch or email:

Follow these steps:

Step 1: Download Referral Form 1 (AT) or Download Referral Form 2 (AT + AAC) and save it.

Step 2: Complete all the questions as fully as possible (please DO NOT leave any fields blank). You can use the downloadable visual resources to support conversations with your child/young person in the completion of Part 1. If the child or young person is multilingual you should also complete the rating scale and questions for multilingual students.

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

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

Referrals for a Southwark, Merton or Wandsworth child/young person

If you need to make a referral for a Southwark, Merton or Wandsworth based child or young person, please email the LA directly requesting you would like CENMAC involvement (please copy CENMAC The LA will then send you a referral form.

Contact Southwark:
Contact Merton:
Contact Wandsworth:

Referrals for a Kingston/Richmond-Upon-Thames child/young person

If you are wanting to make a referral for a Kingston/Richmond child/young person, please email the CENMAC referral form directly to the appropriate EHCP Co-ordinator at Achieving for Children and cc it to CENMAC at

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.
  • Complete the form as fully as possible.
  • 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.
  • We are keen to pilot the use of RIX WIKIS as part of initial referrals. RIX WIKIS are a great way to collate video and media evidence securely over time. This is particularly helpful when working with children/young people who require technology for Augmentative or Alternative Communication (AAC). The WIKIS can help the child/young person share their strengths and abilities and document the evidence of progress when applying for AAC hub funding. Watch this video for a simple introduction to RIX WIKIS.
    If you would like to use a RIX WIKI or submit video as part of an application, please email us to let us know.

Download our Top Tips here.