Shaftesbury High School

Shaftesbury High School

Referral Forms
KS3 & KS4 Referral Forms Updated Sept 2022 - please ensure you submit the correct version to avoid delays

Key Stage 3 Intervention

Please click on the image below to complete this form and return to admissions@shaftesbury.lancs.sch.uk

For Key Stage 3 Medical Places the forms needed are:

Key Stage 4 Intervention

Please click on the image below to complete this form and return
to admissions@shaftesbury.lancs.sch.uk

For KS4 Medical Place the forms needed are:  

Key Stage 3 or 4 Medical Place Request

If you are requesting a Medical Place schools in addition to you completing one of the two forms above the Consultant will need to complete the Shaftesbury Supporting Medical Referral Form.  Download it by clicking the image  below - this MUST be completed and signed by the Consultant.

Please submit forms directly to the central mailbox sssmedicalreferrals@lancashire.gov.uk in order to be considered at the next medical panel - meeting dates available via this link.

 For a more detailed instruction on making a referral please click here