Sample CPR - the Leicester City, Leicestershire and Rutland ...

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Form CPR Part A – Essential Information The child’s education This section should include all school placements including playgroup and nursery provision This section is not applicable because Jane is a young baby. From To Name of provider and address Type of educational provision 4 Does the child have a statement of special educational needs under the Education Act 1996? No. If yes, include a summary of the main features and requirements. Attach any relevant copies of the following: the Statement, Annual Review Report, latest school and educational psychologist’s report and other relevant reports or plans. Not applicable. If no, is the child receiving additional support? e.g. School Action, School Action Plus or Behavioural Support? Not applicable. Page 6 © BAAF 2006 All rights reserved. Except as permitted under the Copyright, Designs and Patents Act 1988, this form may not be reproduced, stored in a retrieval system, or transmitted in any form or by any means, without the prior written permission of the publishers. A Licence Agreement permitting electronic reproduction of this form can be purchased from BAAF. Published by BAAF, Saffron House, 6–10 Kirby Street, London EC1N 8TS
Form CPR Part A – Essential Information Descriptive and evaluative report on child Please note that this section will contain significant information which is required for referral to the Adoption Register for England and Wales. In compiling this report, if evidence has been drawn from the reports of other professionals, give details below. (These may be appended to this report as sources of further information.) Name of report Author of report Professional position Initial Health Assessment Dr. G Frank Specialist Registrar Community Paediatrics Page 7 © BAAF 2006 Date of report 16.06.08 Psychological reports Julie Jamison Psychologist 27.02.08 Parenting assessment Emma Don Family centre worker 08.05.08 Independent Social A.N. Other Independent Social 26.06.08 worker assessment worker A recent good quality photograph of the child should be attached. Date photograph taken: 20-08-08 (The date should be written on the back of the photograph.) Briefly describe the child’s physical characteristics 5 Jane is of White/British parentage. On the 16.06.08 she weighed 5.50kgs and was 63cms in length. She has curly light brown hair and large blue eyes. Jane has a fair complexion. She has a small red birth mark on the nape of her neck. Briefly describe the child’s personality 6 Jane presents as a happy and contented baby. She responds appropriately to stimulation and is comforted easily when distressed. She smiles readily and laughs and gurgles and she enjoys the attention of the adults around her. Jane is currently reaching all her developmental milestones and there are no concerns regarding her health or development. All rights reserved. Except as permitted under the Copyright, Designs and Patents Act 1988, this form may not be reproduced, stored in a retrieval system, or transmitted in any form or by any means, without the prior written permission of the publishers. A Licence Agreement permitting electronic reproduction of this form can be purchased from BAAF. Published by BAAF, Saffron House, 6–10 Kirby Street, London EC1N 8TS
Page 1 and 2: CHILD’S PERMANENCE REPORT The Ado
Page 3 and 4: Form CPR Part A - Essential Informa
Page 5: Form CPR Part A - Essential Informa
Page 39 and 40: Form CPR Parts B & C - Extended fam
Page 41 and 42: Form CPR Part D - Siblings (full an
Page 47 and 48: Form CPR Part E - Wishes and feelin
Page 49 and 50: Form CPR Part F - Views of the birt
Page 55 and 56: BAAF Form CPR Part G Do you have an

Sample CPR - the Leicester City, Leicestershire and Rutland ...

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