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Professional Authority Form

Professional Authority Form

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Requirements. Within the limits of confidentiality this form and/or certificate must describe the nature and impact of the student s problem so that an assessment of the possible effects on academic performance can be made. 2. PERSONAL DETAILS OF STUDENT Student number Family Name Other Names 3. CONSULTATION AND IMPACT OF CONDITION Date of Consultation Period of effect on ability to study From To dd/mm/yy NOTE For chronic health conditions complete this form only if there has been an...
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