Victoria University is committed to supporting the access and participation of students with a medical condition or disability.

This form is part of the registration for  disability & accessibility services.

Before you make an appointment with us, please:

  1. Download and print the Health Practitioner Report.
  2. Arrange for your Health Practitioner to complete the report, or use your diagnostic report (eg Educational Psychologist Assessment)

Then, fill in this form and we'll contact you to make an appointment to for you to create a learning Access Plan with your Accessibility Liaison Officer.

  • New students – please complete this online form once you have a completed Health Practitioner Report.
  • Continuing (returning) students – If you are returning from a break of more than three years or if the duration of your illness is ongoing, you'll need to provide a recently completed Health Practitioner Report (HPR). If the duration of your illness or disability is 'permanent' and you have provided a report in the past three years, you do not have to provide another Health Practitioner Report.
Information marked with an asterisk "*" is required.