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Reasonable adjustments

Reasonable adjustments
Required fields are labelled
Who are you completing this form for?
For example, on behalf of a child or dependent
What is your name?
What is your date of birth?
For example, 31 3 1980
What is your sex?
As recorded on your medical record
The one used to register with your GP
Anyone else with access to your email account may see responses sent to you
Do you have any communication needs?
Do you have any physical access needs?
Do you give consent for your data to be uploaded to the NHS Reasonable Adjustment Flag so that all care providers can access information about your needs?