NB If you do not have your medical evidence because it was not returned by your funding body please contact us immediately. You can request that SFE return your evidence by emailing firstname.lastname@example.org and quoting your customer reference number.
Please note that we can only make recommendations for conditions that your funding body have accepted medical evidence for.
Now, please read and sign the declarations below.
We will not disclose your identity to your University / College without your permission. However, it may be helpful for us to contact your Disability Officer / Course Leader for information regarding your course and the support already available. Do you give your permission for us to contact staff at your University should the need arise?
We may wish to observe the assessor undertaking your assessment. This is to help us to monitor the services we provide and to help us to ensure that our staff are appropriately trained and offering the high quality service we wish to provide for you, our customer. If appropriate, do you agree for your assessment to be observed?
AccessCentral would like to ask you about our performance and how the recommended support is working for you. Would you be happy for us to include you in these questionnaires?
I would prefer a remotely delivered assessment:
I confirm that the information provided above is correct and I understand that it is my responsibility to provide all relevant information to AccessCentral before and during the assessment.
Date: * (DD/MM/YYYY)
Signature: * (please use your cursor to draw your signature)