Refer student

Please provide succinct details of the health issue and how it affects the student's ability to study e.g completion of assignments, tutorial attendance, exams (limit of 750 characters)

I am prepared to provide the session myself.

I am not prepared to provide the session myself.

You can manage TMA extensions for your students (including those beyond 21 days requiring central approval) by accessing the 'Manage TMA extensions' link on your Student Group Summary page on TutorHome.

This student has told me they have a disability and...

is willing to share this information so that appropriate services and facilities may be provided.

wishes the information to remain strictly confidential.

Confidentiality versus health and safety

The OU has a duty of care to take action if a student is at risk of harming themselves or others. Students may well ask for confidentiality under these circumstances. However, health and safety considerations override a commitment to confidentiality in these situations.

Are you concerned that there are very significant health and safety considerations which override a commitment to confidentiality?

Yes.

No.

Please provide succinct details of the significant health issue which you are concerned may present a health and safety risk (limit of characters)

Details of referral

If you wish to refer the student for other issues such as progress concerns please submit this referral and make a second separate referral.

This should only be used to refer students who have told you about personal circumstances that may prejudice their academic progress.

This student has told me about personal circumstances which may potentially affect their academic progress and...

is willing to share this information.

does not currently wish to share the details with any other person in the University.

Details of referral

You can manage TMA extensions for your students (including those beyond 21 days requiring central approval) by accessing the 'Manage TMA extensions' link on your Student Group Summary page on TutorHome.

Should you wish to update the student's record with a statement about any contact with the student regarding the assignment or extension agreed please do so here. This may be useful should the student make contact after receiving the automated response.

Please state your reasons for concern / what action you wish us to take. Completion of the comments box is compulsory – limit of 750 characters.

The Individual Student Support is issued for a standard one hour session.

You will receive an email with authorisation for the session and details of how to claim.

Please claim for payment within one month of the session taking place. The session will be cancelled if we do not receive your claim form within two months of the session being issued.

Please provide a short statement to update the student's record with essential details about the nature of the support required (generic study skills or support related to the academic content).

Would you be able to provide the session?

Yes No

Please provide a short statement to update the student's record with essential details about your concerns over the student's progress.

Please tick the relevant box below to indicate the nature of the referral.

• Exam arrangments
• Exam postponement
• Revision and Exam Technique
• Exam stress
• EMA difficulties

Please provide a short statement to update the student's record with essential details about your referral.

Please provide a short statement to update the student's record with essential details to enable us to make an effective personal response.