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FORMTEXT       FORMDROPDOWN  FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMDROPDOWN  FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMDROPDOWN  FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMDROPDOWN  FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMDROPDOWN  FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMDROPDOWN  FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       Consent & confidentialityIs the parent aware of the referral? YES  FORMCHECKBOX  NO  FORMCHECKBOX Has the parent given consent to the referral being made? YES  FORMCHECKBOX  NO  FORMCHECKBOX If the answer to either of the above is No please provide an explanation FORMTEXT      Is any information contained in this referral to remain confidential from the subject child and family? If so outline specific information to remain confidential and reasons. NB details of referrer if a professional person cannot be held as confidential save in exceptional circumstances FORMTEXT            REF First_Names \* MERGEFORMAT    REF Family_Name \* MERGEFORMAT    REF First_Names \* MERGEFORMAT    REF Family_Name \* MERGEFORMAT   Aug 2009Page  PAGE 2 of  NUMPAGES 3 Aug 2009Page  PAGE 3 of  NUMPAGES 3   (Birmingham Children s Young People & Families Directorate IAR1 Aug 2009Personal information given to us is subject to the Data Protection Act 1998 and will be used to assess your needs and provide services if you are eligible. 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