Date
Dear
You have requested registration with TCD Disability Service (DS) for supports during your time in
College. Trinity College Dublin requires evidence of a disability to support the provision of any
reasonable accommodations. Students who usually register with the DS are covered by the definition
provided in the Equal Status Act 2000-11; it covers a wide range of disabilities. A disability, for the
purposes of receiving a reasonable accommodation in College or elsewhere must be long term. This
means it will last more than a year. It is your responsibility to provide disability evidence that will
complete your registration with the Disability Service.
Evidence of a Disability
Students who do not present appropriate evidence of their disability at the time of requesting
registration/support, should forward this ‘Evidence of Disability Form’ to their Medical Consultant /
Specialist to be completed. General Practitioner (GP) letters will not be accepted as suitable medical
evidence.
Students with Specific Learning Difficulties (e.g. dyslexia) should provide a copy of their most recent
report from an Educational Psychologist, clearly stating that you have a Specific Learning Difficulty. A
medical letter your Consultant or the TCD Evidence of Disability Form will be sufficient for most other
types of disabilities. Evidence of disability generally acceptable in Higher Education is clearly specified on
the following website: http://www.accesscollege.ie/dare/evidence-disability.php Please note age limits
only apply for admission via DARE not for provision of supports whilst in College.
EU, Visiting or International students may register with the Disability Service for supports, see general
admission and support information at http://www.tcd.ie/pathways-totrinity/application/transition/prospective.php . EU, Visiting or International students do not qualify for
supports through the Fund for Students with Disabilities, please consult www.studentfinance.ie .
Signed on behalf of TCD Disability Service
DS6 (AY 2015-2016)
TCD Evidence of Disability Form
Instructions for Completion:

A relevant Medical Consultant / Specialist who has the training and experience with the
particular condition / disability must complete this form (please refer to Instructions for
Completion of Application Form).

This form must be stamped.

All applicants must complete this form, with the exception of those with Specific Learning
Difficulties (e.g. Dyslexia), who must provide a recent Educational Psychologist’s report.
NOTE: Evidence from a General Practitioner / Family doctor, or support organisation is not
accepted as verification of disability.
Please complete ALL sections below in TYPE or BLOCK capitals:
1
Student Details
Title and Full Name of applicant:
Date of Birth:
Phone (including area code)
TCD student number
2
Qualified Health Professional/Specialist
Name, Title of Consultant/Specialist:
Phone (including area code)
Position/Professional Credentials
Date of Report
This report must be accompanied by the Qualified Health Professional’s stamp, business card or
headed paper:
OFFICIAL
STAMP
DS6 (AY 2015-2016)
3 Disability Information (to be completed by qualified health professional)
Disability type (please tick)
Hearing Impairment/Deaf
Vision Impairment/Blind
Physical Disability
Mental Health Difficulties
Specific Learning Difficulty
Autism Spectrum
Medical Condition
Other
Please state the specific name of the Disability
Date of Diagnosis/Onset of Disability
4 Please Briefly Describe the Course of the Condition i.e. will remain static, may have periods of
relapse/remission, may deteriorate.
Duration: Ongoing/Permanent
Temporary
Fluctuating
5 How does the disability/medical condition impact on the students’ ability to study and participate (example,
fatigue, concentration, pain, etc.)?
6 Please describe measures currently being taken to treat the disability (e.g. medication, therapy).
7 What recommendations would you make for reasonable adjustments to enable equal participation in Higher
Education (e.g. examination accommodations, adaptive equipment etc.)?
8 Signature and Date
Consultant’s Signature.
Date. ____/____/____
DS6 (AY 2015-2016)