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Recovery College Registration Form

If you are new to Recovery College, you need to complete this registration form. The registration form provides us with your personal details so we know how to contact you, if you have any support needs we need to be aware of, and your emergency contact details.

If you have been to Recovery College before, and already filled this form in then you do not need to fill it in again. Instead, please email recoveryonline@nsft.nhs.uk with the courses you are interested in and our administration team will process your booking and confirm that the existing details we have for you are correct.

Your personal details

/ /
  • Email
  • With the person you support
  • On your own for your benefit
/ /
  • Service user(accessing NSFT services)
  • Previous service user
  • Supporter(Carer)
  • Student
  • NSFT staff
  • Staff member from third sector
  • Experiencing mental health challenges but not in NSFT mental health services
  • Other
Yes No

Special requirements

Please complete the below section if you have any special requirements we should be aware of.

Please note that whilst our courses are being held online we are unable to provide any physical items such as communication cards and stress balls. We will provide these when we return to classrooms so please continue to tick these boxes so we know you would like them in the future.

  • Use of time out cards
  • Use of Stress Balls, Fiddle Things, distraction Items
  • Use of colouring books
  • Lighting adjustments
  • Use of communication cards
  • Adjustments to written material
  • Additional support with reading and / or writing
  • Use of colour overlays

Emergency Contact Details We need to have an emergency contact number in order to process your registration form.

Courses

Other Information

  • Care Coordinator or Lead Professional
  • Family/Friend
  • GP
  • Online
  • Other
  • Publicity Material
Yes No
Yes No
Yes No

Equality and Diversity Monitoring

This information is anonymous and will only be used to monitor who we are engaging with. This will help understand whether we are reflective of the diversity of our population

Yes No Prefer not to say

The Equality Act 2010 defines disability as a physical or mental impairment that has a 'substantial' and 'long-term' negative effect on your ability to do normal daily activities. The Act defines 'substantial' as being more than minor or trivial ? e.g. if it takes much longer than it usually would to complete a daily task like getting dressed. 'Long-term' is defined as lasting for a period of 12 months or more? e.g.a breathing condition that develops as a result of a lung infection

  • No
  • Physical disability
  • Mental ill health
  • Sensory impairment
  • Learning difficulty such as dyslexia
  • Learning disability
  • Prefer not to say
  • Other

Thank you for completing this registration form.

Your registration details will be stored securely in accordance with data protection law and used for the sole purposes of managing and monitoring the Recovery College. Please feel free to email or telephone us with any questions




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