Online Referral Form

Complete our quick referral form. Once completed, our team will contact you to arrange an appointment. Alternatively, contact us between 8-5pm Monday -Friday (tel – 01457 835568) for help with this form or to check our availability.

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  • About you
online assessment

Before you begin

The purpose of the DSA study needs assessment is to determine what difficulties you may face with your study due to your disability and to consider what support can be provided to overcome those difficulties. In order to get the best outcome from this assessment, we require the following information in advance. This will enable us to do any prior research needed, so that we can consider the full range of support available.

  • Details of your history
  • Personal information about you
  • Academic course information
  • Information about your learning provider
  • Funding body details
  • Details of your most convenient assessment centre
  • Details of previous education support
Start your referral

Guide to DSAs: What Happens at a Study Needs Assessment?