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The Acorn Centre

Where Everyone Thrives

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Referral to Tier 4 Panel

Tier 4: Out/ Inreach support provided by the Acorn Centre

If you wish to make a service request for tier 4, please send an request email to We will log your enquiry and a referral form will be sent with the reply. 


Children at risk of permanent exclusion

Your Service Request will need to meet clear criteria; referral form and evidence will be discussed at an inclusion panel. Please send the completed referral form, including the parents approval signature and evidence paperwork either password protected OR via Schools FX to


Evidential paperwork to be included: 

  • Copy of EHCP (if applicable)
  • LHNF application (if applicable)
  • Professional reports - EP, Comms Team, CAMHS or other appropriate agencies
  • Chessbrook report (if applicable)
  • Herts Steps paperwork - RRP, Anxiety Mapping, Roots & Fruits
  • LA approved reduced timetable (if applicable)
  • Copy of child's behaviour log - CPOMs or alternative.
  • Evidence of strategies used by school and impact


Tier 4 Panel Dates 2021/2022


Friday 17th September 2021Thursday 7th October 2021
Friday 19th November 2021Thursday 2nd December 2021
Friday 14th January 2022Thursday 27th January 2022
Friday 4th March 2022Thursday 17th March 2022
Friday 6th May 2022Thursday 19th May 2022
Friday 16th June 2022Thursday 30th June 2022