Assessment of need for a disabled child

Please use this form to request an assessment of need for a disabled child. If this is an urgent enquiry, please use the following contact details: Monday to Friday 9:00am to 5:00pm 020 8489 3947. Outside of these times, please call 020 8348 3148. You will need the following details to complete this form:

Child's details
Parent/Carer details
Other family member details
School, Health Visitor & GP details

Haringey Council intends to fulfil all its obligations under the Data Protection Act 1998. The Council requires the following information for the purpose of acting on your request. We undertake not to process your information in any manner incompatible with this purpose, but may disclose your information to a third party to action your request and Customer Services to aid response to subsequent enquiries. For further information about how Haringey Council processes your data, please click on the following link: Data Protection Statement. This will open in a new browser window.

You will be able to print a summary of the information you provide after submitting the form.

Fields marked with * are mandatory.

Does the child live in the Borough of Haringey? *

YesNo