Confidential medical report Access arrangements and reasonable adjustments (AARA)

190495

Medical reports may only be completed by the student’s general practitioner (GP), medical specialist, or psychologist (registered under Queensland’s Health Practitioner Regulation National Law Act 2009). The health professional providing a report must not be related to the student or employed by the school. The information provided needs to be current and relate to the relevant assessment period.

Information provided in this report is treated in strictest confidence and is only used for the purpose of determining the student’s AARA application.

If the health professional does not use this report form, they must supply a current medical report containing all of the following information.

For more information, refer to About this report on the last page.

Student details
Student name:
School:
LUI:
I give permission for my health professional to provide information concerning this application to the QCAA, if required.
Student signature:	Date: / /
Parent/carer signature: (if student is under 18)	Date: / /

Are you applying for:

Access arrangements and reasonable adjustments (for existing and chronic conditions)

Health professionals complete Part A and Part B — AARA, and complete and sign the Health professional details.

Illness and misadventure (for unforeseen circumstances)

Health professionals complete Part A and Part C — Illness and misadventure, and complete and sign the Health professional details.

If you are unsure which to apply for, refer to About this report on the last page.

Submit this completed report as part of an AARA application via the QCAA Portal.

Part A

This section is only to be completed by the health professional.

Diagnosis:
Date of diagnosis:	/ /
Date of occurrence/onset:	/ /
Provide a brief history of the student’s disability, impairment and/or medical condition, including symptoms.
Is the student currently receiving treatment? Please indicate.
Comment on the probable effect of this disability, impairment and/or medical condition on this student’s capacity to complete timed assessment.

Part B — AARA

This section is only to be completed by the health professional.

Comment on how the disability, impairment and/or medical condition would affect this student’s daily functioning in the classroom.
Professional recommendations for assessment adjustments.

Part C — Illness and misadventure

This section is only to be completed by the health professional.

I consider that the effect of the impairment arising from the medical condition is/was: mild moderate severe
I consider that the student is/was: disadvantaged due to a temporary medical condition unfit to participate in assessment due to a temporary medical condition from / / to / / . unfit to participate in assessment due to a deterioration in a chronic condition from / / to / / .
If the student was affected for less than a full day, comment on the amount of time the student was affected during a timed assessment, e.g. second half of the exam session.

Health professional details

Name:
Profession:
Phone:
Specialty/qualifications: (if applicable)
Place of work:
Registration number:
Practice stamp: (if applicable)
Signature:	Date: / /

About this report

Access arrangements and reasonable adjustments (AARA)

Some students may have disability, impairment and/or medical conditions, or experience other circumstances that may be a barrier to their performance in assessment. Access arrangements and reasonable adjustments (AARA) are designed to assist these students.

Illness and misadventure

Students may also experience unforeseen circumstances that may be a barrier to their performance in assessment, such as a significant deterioration of an existing medical condition, or experiencing a natural disaster, accident or significant cultural obligation. These students may be eligible for illness and misadventure adjustments.

Submitting this report

The QCAA requires a medical report for medical claims for AARA or illness and misadventure. Once complete, submit this report as part of an AARA application via the QCAA Portal.