Private Referral Service

A private referral service is now being offered to members of the general public. We provide a service for individuals aged 5 years and upwards with Specific Learning Difficulties such as Dyslexia or Dyspraxia, as well as associated difficulties such as Asperger’s Syndrome and ADHD.

Individuals may be referred to the National Learning Network Assessment Service by professionals, family members or through self-referral. In all cases, the Assessment Service follows the highest professional standards and places the individual at the centre of the service.

To make a referral, please download a copy of the relevant questionnaire/s by selecting from the list below:

• Adult Questionnaire
• Parent Questionnaire for 5 – 14 years old
• Parent Questionnaire 15+ years
• Adolescent Questionnaire
• Tutor, Trainer or Employer Questionnaire
• Teacher Questionnaire for Primary school children
• Teacher Questionnaire for Secondary school children
• Consent Form
• Information Request from Third Parties
• Releasing Information to Third Parties

If the individual is less than 12 years of age, please complete the Parent and Teacher Questionnaires, along with the three consent forms.  Please read the Terms and Conditions before proceeding with the referral.

If the individual is aged between 12 and 16 years, please complete the Adolescent, Parent, and Teacher Questionnaires, along with the three consent forms. Please read the Terms and Conditions before proceeding with the referral.

If the individual is over 16 years of age, please complete the Adult Questionnaire and the Tutor/Trainer/Employer Questionnaire (where possible) in addition to the three consent forms. Please read the Terms and Conditions before proceeding.

The questionnaires should be filled in and returned by post to:
National Learning Network Assessment Service
Block A
Institute of Technology
Blanchardstown Road North
Blanchardstown
Dublin 15

Please note that all returned questionnaires must be accompanied by the completed consent forms, the referral fee, and copies of previous assessment reports.