Disability Referral Form

This form is for passing on a student declaration of disability to the Disability and Mental Health Service (DMHS) at LSE.

If you wish to inform DMHS of your own disability you should not complete this form. Instead please see our Speak with an Adviser page and follow the steps relevant to your enrolment status. 

Definition of disability 

By disability we mean a physical or mental impairment lasting 12 months or more which has a substantial negative impact on a person's abilities to undertake normal daily activities, as per the definition under the Equality Act 2010.

For an overview of the most common groups who fall under this definition you can also see our Who We Support pages for examples.

Methods of declaration  

The declaration can be made to you in one of the following ways: 

Verbal disclosure: the student tells you they have a disability or long-term condition which has an adverse, long-term (i.e. more than 12 months) effect on their ability to carry out day-to-day activities. 

Document sharing: the student has presented you with documentation, usually from a medical or psychological professional, that confirms a disability or symptoms which meet the definition above.  

Behaviour: where the evidence of a disability is apparent from the student themselves, for example through their behaviour or language. 

Indication: the student has completed a form or made an application (eg. for short-term CEAs, ECs, deferral, extension etc.) and indicated that they consider themselves to have a disability or have described symptoms which meet the definition above. 

Purpose of a disability declaration referral

The purpose of sharing this information with DMHS is to facilitate the offer of support and adjustments, and meet LSE’s legal and moral obligations to our students.

If a student needs more urgent help relating to disability-related issues then they should also be directed to the appropriate process. For example applying for an extension, Exceptional Circumstances or short-term Central Exam Adjustments

Please note, if you have concerns about the student’s safety, you should not complete a declaration form, but follow the Cause for Concern process instead.  

Upon receipt of this form, DMHS will check whether the student is already receiving support and follow up as appropriate, usually by contacting the student to invite them to meet with a DMHS Adviser to discuss support and adjustments. The student will be contacted within 3 working days. The referrer will receive a response on receipt of the form and further updates as appropriate. 

 

Disability Referral Form

Disability Referral Form

  • Upon receipt of this form, DMHS will check whether the student is already receiving support and follow up as appropriate, usually by contacting the student to invite them to meet with an Adviser to discuss support and adjustments. The student will be contacted within 3 working days. The referrer will receive a response on receipt of the form and further updates as appropriate. The form is not monitored during weekends, bank holidays and School's Closure periods.
  • Reason for referral (tick all that apply)
  • Your details
    We will not share any of your details without your express consent. However, we may use your details to provide you with an update or ask for further information before contacting the student.
  • Your name
  • Student's details
    Please provide us with as much information about the student as possible. The more information you provide the quicker we can provide appropriate support.
  • Has the student explicitly said that they do not want to be referred to DMHS or receive any support or adjustments from the School?
  • Student's Name
  • Does the student know you are referring them to DMHS?
  • Have you discussed possible adjustments with the student already?