PCAN Membership Form Information

Nature of the Disability or Additional Need:

Description Explanation
Behavioural Issues Is your child’s behaviour challenging or difficult for you or other people to cope with?
Consciousness Does your child have seizures or fits?
Continence Does your child need help with toileting (do they reminders, go to the loo often, take medication, or are they incontinent?
Eating and Drinking – assistance Does your child need help with eating and drinking (do they have a special diet, need help to eat or use specialist feeding equipment?)
Eating Disorder Does your child have a specific eating disorder eg. PICA, Bulimia?
Hearing Impairment Does your child have a hearing impairment or little or no hearing?
Learning Does your child have a learning difficulty or disability?
Learning support Does your child receive extra support in school? For instance IEP, My support plan?
Mental Health Needs Does your child have difficulty with their emotional health? (Do they have low moods, depression or are they often anxious?)
Mobility Difficulties Does your child find it difficult, painful or tiring to walk or move around?
Multi-sensory impairment Does your child have an impairment with more than two of their senses?
Physical Health Needs Does your child have a medical condition affecting their physical health?
Sensory Integration Difficulties Does your child have difficulties using their senses in a co-ordinated way?
Sensory Processing Difficulties Does your child have difficulties making sense of the information the brain receives via their senses?
Social Communication Does your child have difficulties in social situations? (Do they find it hard to understand social rules, make friends or join in activities with other children/people?)
Speech and Language Is it difficult for your child to communication? (Do they find it difficult to speak, are they unable to speak, do they use communication aids or signs, is their speech difficult to understand?)
Vision Does your child have a visual impairment, or little or no vision?
Wheelchair user Does your child use a wheelchair to get around most or all of the time?

2 Responses to PCAN Membership Form Information

Leave a Reply

Your email address will not be published.