º£½ÇºÚÁÏ Medical Evidence Form
The purpose of this form is to provide evidence of long-term medical conditions or disabilities for students who require Support Plans. It is not intended to be used to provide evidence of specific learning differences, like dyslexia.
We hope this form will be a useful way for students to secure evidence, especially if they are finding it hard to get suitable letters from their medical practitioners and don’t have pre-existing evidence.
It is mainly intended to be completed by GPs. However, it could also be completed by other statutory health practitioners, such as specialist nurses or doctors or other professionals (such as registered social workers or clinical psychologists) working in muti-disciplinary teams.
We also hope that funding bodies like Student Finance England will accept the form, if fully completed, for the purposes of providing evidence to apply for Disabled Student’s Allowance. As this is a new form we would welcome feedback on how this is received by funding bodies in practice.
Registered students: the team at the Cripps Medical Practice, based on University Park (Nottingham) is aware of the form and how it should be used.
Please note the form is not designed to be used as evidence of extenuating circumstances. It is for setting up a long term disability Support Plan.
Also, please be aware that although the form should be sufficient for most student Support Plans, if you have complex requirements we may need to request additional medical evidence.
Download the Medical Evidence Form