Please review details on the Preschool Field Officer Program before completing this form.
This referral form will take approximately 10 minutes to complete, and cannot be saved and completed once the process has begun. It requires prior consultation and authorisation from families before completing.
This form requires the following information:
- Child’s developmental concerns and how it is affecting their involvement in the program
- Family consultation around the use of an interpreter and language required
- Maternal and Child Health (MCH) and other professional agencies involved
- Family consent to fill out the form.
Privacy Collection Statement
We are collecting your personal information to:
- support the delivery of the Preschool Field Officer program.
The information collected will:
- enable us to assess your needs and provide you with services and support
- be shared, when necessary, with authorised staff for administrative, planning, and reporting purposes
- be shared with government agencies or service providers, to provide you with services and support, with your consent
- only be used for this purpose
- not be shared with any other person unless required by law.
Read our Privacy Policy to learn how we treat your personal details. And our Terms of use for online services.
To apply for access and/or amend your personal and health information
Contact Council’s Freedom of Information Officer.
