This link contains referral documents to be used by speech pathologists or psychologists. If you are a parent/caregiver and you wish to refer your child to the NEMLDC, please talk to a speech pathologist who can start the process if appropriate.

Speech Pathologists/Psychologists:

Referral forms:

• Speech Pathology Reports:
  • LDC Kindy Referral Speech Pathology Report (2018)
  • LDC Pre-Primary Referral Speech Pathology Report (2018)
  • LDC Year 1 Referral Speech Pathology Report (2018)
  • Appendix 1 CALD Questionnaire (2018)
• Parent / Teacher Questionnaires
  • Parent Carer Kindy Questionnaire (2018)
  • Teacher Questionnaire for PP placement (2018)
  • Teacher Questionnaire for Year 1 placement (2018)
    
• School Psychologist Behaviour Checklist
  • LDC Behaviour Checklist for Psychologists (2018)
• Other Documentation:
  • NEMLDC referral sites and suburbs list
  • Electronic LDC Referral Form Information & Support (2017)
  • Assessment Scoring Information for Speech Pathologists (2018)
  • LDC Referral Guideline Document (2018)

Additional Information

• OPEN DAY FLYER 2018

To use these referral forms please download a copy for each child being referred.

Referral documents may be emailed to northeastmetro.ldc.referrals@education.wa.edu.au  or printed and posted to

Placement Committee

North East Metropolitan LDC

18 View Street

DIANELLA  WA  6059

If submitting documents by post we kindly ask that you do not staple them.

Any additional information (e.g. CELF record forms etc.) must be scanned and emailed to the above address.

For Word referral forms please click here.  Referral forms in word format may be printed and completed by hand if perferred.

Back to Enrollments and Referrals