Disability and Dyslexia Service

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Special Examination Arrangements Application (SMD)

Students are required to complete and submit this form and associated medical evidence no less than 30 working days before the date of their examination to ensure that the School of Medicine and Dentistry have sufficient time to implement these arrangements. Examinations in the School of Medicine and Dentistry are administered by the school itself . 

If you prefer, you can download a copy of this form. [DOC 17KB] (Online form below) Paper copies of this form can also be collected from the Disability and Dyslexia Service (DDS), Room 2.06, Bancroft Building, Mile End.

Note: BOTH application form and medical evidence must be received before the deadline dates mentioned above in order for the application to be processed.

Read important information about Special Examination Arrangements, including information about OSCES, final clinical examinations and SCAP applications.

Please note that this is not an application for Special Circumstances Affecting Placements.

Application for special examination arrangements for students in the School of Medicine and Dentistry

By completing this application you are confirming that you have read and understood QMUL’s Special Examination Arrangements Policy. [PDF 65KB]

* = mandatory

Personal details

  • Reason for Special Examination Arrangements Application

  • What Special Arrangements would you like to request?

DDS cannot recommend Special Examination Arrangements without supporting medical evidence. If DDS does not already have supporting evidence on file you MUST , send recent medical evidence to support this application.

You can send supporting evidence to or drop it into our office, Room 2.06 in the Bancroft Building during our usual opening hours. We will NOT be able to process your application without this. Please be sure to include your student number with your medical evidence.

By submitting this form you confirm that the above information is true. You are also agreeing that the Disability and Dyslexia Service can share this information with other University departments in order to facilitate your Special Examination Arrangements.

Please note: if your requested arrangements are agreed you are likely to be seated away from the main examination room.

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