Booking an appointment with the Disability Service
Have you had an appointment with a Disability Adviser before?
What is your disability?
Physical / mobility
Autism / Aspergers
SpLD (eg dyslexia, dyspraxia, ADHD)
Have you got the following evidence?
...............(please send any evidence to
prior to your appointment)
Medical or diagnostic evidence
DSA needs assessment report
DSA2 entitlement letter
I need to speak with a Disability Adviser about the following:
My needs assessment / DSA2 agreement letter
A change in my needs or the support I require
Adjustments recommended for me in my SoA (Summary of Adjustments)
Problems with my DSA funding / SFE
Please give an outline of anything else you'd like to cover during the meeting:
I am already receiving support from the following service(s):
Student Welfare Officer (SWO)
Health & Wellbeing (Counselling)
ALA (Academic Learning Adviser)
If you have been referred to Disability Services, please give the name and job title of the person who referred you:
How would you like us to contact you in future?
My current phone number is:
My email address is:
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