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Health and disability disclosure form

Health and Disability Disclosure Form

Please only complete this form if you have been asked to do so by a member of the Wellbeing team.

The University of Exeter has a duty to support students who declare a disability, including specific learning difficulties, long term health conditions or mental health difficulties. In order to help us give you the most appropriate support we would ask you to complete this Wellbeing Services form. For your information, Wellbeing Services includes a range of support pathways including AccessAbility, Welfare, Psychological Therapies and Mental Health.

Declaration of Health and Disability

Legislation states that students who declare a disability, specific learning difficulty, long term health condition or mental health difficulty to the University are entitled to have their special needs considered and appropriate support put in place. Please complete the following declaration by ticking the relevant box(es). If you choose not to complete this form, the University may not be able to provide the full entitlement to support.

Your data

This data is sensitive under the Data Protection Act 2018 and will be stored securely within the University IT system. The information will be used for statistical purposes and in order to provide the most effective support arrangements in relation to your needs. For more information on how your data is stored, what your data is used for and how long it is kept for, please see our Privacy Notice. If you are at all unsure, or wish to discuss the implications of completing this form, please speak to a member of staff from Wellbeing Services.

Right to amend or withdraw - You can amend or withdraw your declaration at any stage by sending an email to wellbeing@exeter.ac.uk. Please be aware that this may impact the support you are able to receive.

 

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Medical evidence upload field
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Declaration
I declare my health condition/disability to the University of Exeter and consent to this being updated on my University record.
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I give my consent for information to be released and liaison to take place between Wellbeing Services workers and other University colleagues/departments on a 'need to know' basis in order to have the appropriate support and adjustments put in place. I understand that the consent for my health/disability disclosure as detailed above lasts for the entire duration of my studies.
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Booking an AccessAbility appointment
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