---
title: "Referral Form"
url: "https://www.brookfieldsschool.com/outreach/referral-form"
school: "Brookfields Special School"
---

# Referral Form

## Referral Form

In order to access Brookfields ASD / Social Communication Outreach, schools / settings must complete a Named Child Referral Form. Please see below.

This must be submitted to Halton SEN Team and not directly to the school.

This service is open to Halton schools.

 SEND Service Referral Amended Dec 21  60 KB  [Open for printing](https://files.schudio.com/brookfields-special-school/files/documents/outreach/SEND_Service_referral_amdended_Dec_21.docx)

### About Us

- [Welcome](https://www.brookfieldsschool.com/about-us/welcome)
- [Calendar](https://www.brookfieldsschool.com/calendar)
- [Family Support](https://www.brookfieldsschool.com/family-support)
- [Governors](https://www.brookfieldsschool.com/about-us/governors)
- [Initial Teacher Training](https://www.brookfieldsschool.com/about-us/initial-teacher-training)
- [Lunch Menu](https://www.brookfieldsschool.com/about-us/lunch-menu)
- [Mission and Vision](https://www.brookfieldsschool.com/about-us/mission-and-vision)
- [Opening Times](https://www.brookfieldsschool.com/about-us/opening-times)
- [Outreach](https://www.brookfieldsschool.com/outreach/all-you-need-to-know-about-brookfields-outreach)
    - [All You Need to Know About Brookfields Outreach!](https://www.brookfieldsschool.com/outreach/all-you-need-to-know-about-brookfields-outreach)
    - [Comic Strip Conversations](https://www.brookfieldsschool.com/outreach/comic-strip-conversations)
    - [General Advice and Tips for a SEND Friendly Classroom](https://www.brookfieldsschool.com/outreach/general-advice-and-tips-for-a-send-friendly-classroom)
    - [Referral Form](https://www.brookfieldsschool.com/outreach/referral-form)
    - [Resources for Schools](https://www.brookfieldsschool.com/outreach/resources-for-schools)
    - [Scenario Solutions](https://www.brookfieldsschool.com/outreach/scenario-solutions)
    - [Sensory Activities for Your Classroom](https://www.brookfieldsschool.com/outreach/sensory-activities-for-your-classroom)
    - [Social Stories](https://www.brookfieldsschool.com/outreach/social-stories)
    - [Tips to Support Home Learning ](https://www.brookfieldsschool.com/outreach/support-strategies-for-lockdown-learning)
    - [Visuals](https://www.brookfieldsschool.com/outreach/visuals)
    - [Whole School Approach to SEND](https://www.brookfieldsschool.com/outreach/whole-school-approach-to-send)
- [School Staff](https://www.brookfieldsschool.com/about-us/school-staff)
- [Shaw Education Trust](https://www.brookfieldsschool.com/about-us/shaw-education-trust)
- [Students and Volunteers](https://www.brookfieldsschool.com/about-us/students-and-volunteers)
- [Therapy Services](https://www.brookfieldsschool.com/about-us/therapy-services)
- [Transport Information](https://www.brookfieldsschool.com/about-us/transport-information)
- [Uniform](https://www.brookfieldsschool.com/about-us/uniform)

[Embedded content](https://www.google.com/maps/embed?pb=!1m18!1m12!1m3!1d2380.206612847225!2d-2.7123173231198217!3d53.3753525725526!2m3!1f0!2f0!3f0!3m2!1i1024!2i768!4f13.1!3m3!1m2!1s0x487b1d6eb2c9d3d5%3A0x7235e3565cc82ddb!2sBrookfields%20School!5e0!3m2!1sen!2sen!4v1729257602246!5m2!1sen!2sen)

  ![Brookfields Special School](https://files.schudio.com/brookfields-special-school/images/logo/Brookfields_Logo(2).png)

 **Brookfields Special School**
Upper School
Moorfield Road
Widnes
WA8 3JA
Lower School
Hallwood Park Avenue
Runcorn
Cheshire
WA7 2FL
Tel: 0151 424 4329
Email: <secretary@bfs.set.org>

 [![Shaw Education Trust](https://files.schudio.com/shaw-education-trust-2/images/logo/set-misc/footer-logo-v1.png)](https://shaw-education.org.uk) **Shaw Education Trust**
Kidsgrove Secondary School
Gloucester Road
Kidsgrove
ST7 4DL
VAT: GB 358822467
Tel: 01782 948259
Email: <info@shaw-education.org.uk>
Company Number: 09067175

### Useful Links:

- [Holiday Dates](https://www.brookfieldsschool.com/termdates)
- [Ofsted](https://www.brookfieldsschool.com/key-info/ofsted)
- [Opening Times](https://www.brookfieldsschool.com/about-us/opening-times)
- [Search](https://www.brookfieldsschool.com/search)

### Social Media

- [Facebook](https://www.facebook.com/BrookfieldsSchool)

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