EmailMe Form - Registered Medical/Health Practitioners Form

Part A. To be completed by student

Student ID IKO******* *

Student Full Name *

Campus *

Course Title *

Email

Phone *

Part B: To be completed by a registered medical or health practitioner ONLY

Please provide student’s medical condition, mental health condition or neurodiversity information below.
State the name of the medical condition, details of the diagnosis and documents to support reasonable adjustments in a higher education educational (learning) environment.

Part C: The Reasonable Adjustment requested for student

In your opinion, what additional supports does this student need for them to participate equally in higher education learning. Please refer below for a list of possible reasonable and unreasonable adjustments.

What might be considered reasonable adjustment

The following information has been sourced from the Australian Disability Clearinghouse on Education and Training (ADCET).

• Additional time to complete exams
• Reader and / or a scribe in exams or use of Assistive Technology in an exam environment.
• Leniency on spelling and grammar errors in exam situations.
• Special consideration and/or extensions to course work due dates.
• One on one academic skills tutoring.
• Extended loans for library resources.
• Class handouts / lecture presentations provided online prior to the scheduled class.
• Amendments in assessment delivery methodologies.
• Opportunity to submit a draft for feedback and guidance.
• Audio or word-processed feedback comments from the lecturer / tutor.

What might be considered unreasonable adjustment
The following information has been sourced from the Australian Disability Clearinghouse on Education and Training (ADCET).
In determining whether an adjustment is reasonable, the factors in the Disability Standards for Education 2005 (Sect, 3.4.2) are considered. This includes any effect the proposed adjustment will have on the education provider, staff and other students, and the costs and benefits of making the adjustment. It is also imperative that the principles of assessment - validity, fairness, reliability and flexibility are maintained. Where reasonable adjustments result in unfair advantage to one or more students, subsequent disadvantage will occur for other students. In this situation the award being conferred can be invalidated. The following are examples of unreasonable adjustments:

• The provision of unlimited time in examinations. The amount of additional time allowed must be justifiable based on the nature and degree of the individual’s difficulties.
• Reduced workloads are viewed as lowering standards and expectations. In contrast adjusting the mode of the assessed task is reasonable in situations where the original assessment task format was not inherent to the knowledge and skills required to succeed in the unit of study.
• Extreme demands on lecturer / tutor time can also be considered unreasonable and must be determined in consultation with lecturers in the planning of reasonable adjustments.
• Provision of reasonable adjustments where there is no evidence base. Students who receive support through reasonable adjustments have a responsibility of disclosure and must provide authentic documentation such as the Educational Psychologist assessment that outlines explicitly the specific learning disability and recommended adjustments.

Part D: Medical/Health Practitioner's Declaration
I confirm that the details provided in this document are correct

Practitioner's Name *

Practitioner's Email *

Date *

Signature *
Clear

Note:
Once this form has been completed and signed, the student must apply for reasonable adjustments and upload the completed form as well as the supporting medical documentation at Application for Reasonable Adjustment.
Any supporting documents must be on an official letterhead and include the date and title, name, registration number, contact details, and signature of the practitioner. Once this application has been assessed Education Services Team, the outcome of the application will be communicated to student. If the application is incomplete, the student may experience a delay in receiving an outcome.