Medical Student Health Assessment Page 3

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Occupational health service
Prospective medical student health assessment
CONFIDENTIAL
Introduction
We are committed to ensuring equality of opportunity for students with impairments
and health conditions. It is our legal responsibility to ensure that any barriers to our
courses are removed and one way in which that can be achieved is to find out about
you and your requirements. We also have to be assured that we can help you
practise safely in training and in employment and so now you have been offered a
place on the course we wish to begin this process by asking you to complete this
form.
Confidentiality
All medical and sensitive personal information you provide will be held in confidence
by the University/School Occupational Health Service. The school will only be
informed of the need to make adjustments if it is relevant to your educational needs
or patient safety and with your full involvement.
The School will provide all reasonable support to enable students with impairments
and health conditions to complete their studies. Appropriate support can be provided
for almost all circumstances even if the effects of impairment or ill health are
substantial. However, because of a requirement to ensure patients are not harmed
through involvement in medical training, if you have a condition which would make it
impossible for you to work safely with patients or to acquire the skills necessary to
complete training, even with adjustments and support, then you cannot be accepted
onto the undergraduate medicine course. In this circumstance, the University will
endeavour to offer you a place on an alternative course. However, you should not
assume that your impairment or health condition will prevent your take-up of a place
and we would be pleased to speak with you at the earliest opportunity about any
concerns you may have.
Please contact xxx for further advice and support about disability, health and fitness
to practise and confidentiality issues.
Please answer each of the following questions, providing brief detail on any
questions answered ‘yes’. You should then complete the declaration in Section 3 and
then arrange for your general practitioner, or usual doctor, to complete Section 4.
Once you have completed all sections, you should then send the form to the
University/School Occupational Health Service. Keep a copy.
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