Referral Forms
JAN 2026 update- forms have been updated
**please ensure you submit the correct version to avoid delays**
Key Stage 3 InterventionPlease click the image to download this form - complete it is full to avoid delays and return it to admissions@shaftesbury.lancs.sch.uk
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Key Stage 4 InterventionPlease click the image to download this form - complete it is full to avoid delays and return it to admissions@shaftesbury.lancs.sch.uk
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Key Stage 3 or 4 Medical Place Request
- Please click the image to download this form to send it to the consultant to complete it in full if you are requesting a Medical Place. Alternatively you could forward a link to this page so that they may download it themselves.
- School must also complete one of the above green or blue forms to request the place.
- When both forms are complete please email them with all supporting evidence directly to Section 19 Panel mailbox here
- Submission must be 3 days prior to the published panel dates available here
