CCAS Referrals

Terms & Conditions

• The family contribution must be paid prior to attendance at Caudwell International Children’s Centre (CICC) for workshops and/or assessments.
• All assessments and workshops must be booked and attended within a 12 month period.
• Families will need to attend the CICC in Keele, Staffordshire.
• Caudwell Children are unable to provide financial help for travel or accommodation.
• If no contact is made within 6 months then any financial contribution from Caudwell Children may be reallocated for use by another child.

Cancellations and Refunds

• Cancellation of appointments and workshop attendance must be given with a minimum of 48 hours’ notice. We will make every attempt to offer you an alternative appointment at a mutually convenient time and within a reasonable timeframe.
• Failure to notify us within this timeframe will incur a charge of £75. You will not be offered further appointments until this charge is paid. However, we will consider waiving this charge where there are extenuating circumstances.
• Repeat cancellations for funded places may lead to any Caudwell Children funding being withdrawn.
• Autism Spectrum Disorder assessments, Occupational Therapy Assessments and workshop packages are bought as a whole and cannot be itemised. Should you be unable to complete the full package, we will not be able to offer a refund on your family contribution; either in full or part.
• If you decide that you no longer wish to attend Caudwell Children Autism Service, you will need to give us 7 weeks’ notice prior to your first appointment in order to qualify for a full refund on your family contribution. However, we will take extenuating circumstances into account.

Withdrawal of services

• Providing false information in relation to your assessment.
• Abuse of the staff team or other families visiting the service.
• Damage to the environment or property of Caudwell Children.

Please note

OT assessments may involve physical activity, e.g. bouncing on a gym ball. bouncing on a trampette, obstacle course, using a swing or vibrating pillows etc.

Please inform us of any health reasons why the child should not participate in the assessment and inform us of any health risks that you feel we should be aware of.

We are sorry that at this time you do not fall within Caudwell Children’s criteria.
For further help and advise please visit our charity links section.

Please give at least 3 examples of how the child experiences the difficulties in the following areas:

Examples:

• Excessive need for movement that is disruptive to a daily routine or activity.
• Poor organisational skills such as getting school bag ready or getting dressed.
• Clumsy, awkward, accident prone, crashing into things.
• Difficulty maintaining their energy level throughout the day
• Over or under reactions to lights, sounds, smells or touch

Please Note:

We cannot process the referral without your consent. Please tick ALL> boxes above and try again.

If you have any queries about this referral form or would like further information, please contact us prior to sending the referral.

In order to ensure timely response to referral, please ensure that all sections of the referral form are completed prior sending.

The General Data Protection Regulations 2018 gives new guidance on how organisations need to to control and process the information that you share with us.

As a Charity providing practical and emotional support to disabled children across the UK, we need to process your data to pursue our legitimate business interests, for example, to provide our services, to safeguard vulnerable children and adults and for administrative purposes.

If your application is successful, the Charity will securely retain and process the information provided in this form, together with any associated information during the time we provide service for you and afterwards until your child reaches age 26 years in line with General Data Protection Regulations 2018 and Caudwell Children Privacy and Information Policy.

If your application is unsuccessful, all documentation relating to your application (both paper and electronic) will be confidentially destroyed after a period of 6 months.

Application Team

Caudwell Children

Caudwell International Children's Centre

Innovation Way

Keele Science & Innovation Park

Newcastle-under-Lyme

Staffordshire

ST5 5NT

Tel: 0345 300 1348

Email: applications@caudwellchildren.com