The Compass B&H disability register is for children or young people aged up to 25 years whose special educational need and or disability (SEND) has a big effect on their daily life. They must live or access education in Brighton & Hove or be a 'looked after' child by Brighton & Hove social services.
This form is for 0 to 17 years. If the young person is aged over 17 years, please email compass@amazesussex.org.uk and we will post you a form; sorry the 18-25 years form is not available online yet.
If you cannot complete the form in one session, click the 'Save and Continue Later' button. You do not need to create a JotForm account, select 'Skip Create an Account' and add your email address to be sent a link.
Please read our privacy statement here, by completing this form you will will be agreeing to Amaze processing the data you give us in this form. If you are a parent carer completing the form for a 16 or 17 year old, please make sure the young person has consented for you to share their data here.
Thank you, just to let you know, when this form says the 'child or young person' we mean you.
We are very sorry but the Compass card is only available for children or young people with SEND who meet one of the following criteria:
Please check your email address is correct:
{yourEmail}
Please enter a valid mobile number
{theChild22} is aged {age} years.
As you are under 16 years and completing this form yourself, we will still need your parent carer to complete some of the form.
This form is for 0 to 17 years. Please email compass@amazesussex.org.uk if you require the 18 up to 25 years form.
We know many children have more than one need or condition. In the following question we ask you about their most significant (primary) need or disability. On the next page you can select all their conditions as well as specify any genetic or named syndromes or other conditions not listed.
Tell us which services the child or young person has received in the last 12 months or they didn't receive but would have benefited from. If there are no relevant services on this page, click next.
The remainder of this form should be completed by your parent carer.
Please provide the name and contact details of the social worker so we can contact them for consent to register the child or young person.
Please let us know if you would like Amaze to email you about the following, we will never pass these details on to other agencies. Please email us if you change your mind about receiving these emails.
Would you like to receive these emails?