Reasonable Adjustments - Parent Conversation
School Name:

	SENDco/Headteacher:	Date of Request:	
Name of Child/Young Person

	D.O.B	Year Group/Class:	
Name of Parent/Guardian:

	Contact Details:
	
Context/overview of the needs of the child/young person
(e.g medical/health/learning needs or disability)

	
What reasonable adjustments are already in place?

	What has been the impact of these reasonable adjustments?	
What further reasonable adjustments are you requesting?

	What positive impact will this have on your child/family?	
Any other further comments, or background information that you would like to be considered as part of this request?