You should declare a physical or mental health condition by answering ‘YES’ if that condition:

• Was caused or exacerbated by working in an educational setting;
• Is likely to result in days when you are unable to undertake supply work in the future;
• Is likely to become progressively worse, and/or is likely to be made worse by carrying out supply work in an educational setting;
• Is likely to prevent you from carrying out supply work in a school or prevent you using any necessary equipment;
• Causes or is likely to cause difficulties with communication such as with hearing, speech or eyesight;
• Could put you or others at risk of harm;
• Restricts your movement, strength or posture; or
• Affects your mood, memory or social skills.

In addition, you must tick ‘YES’ to Question 6 if you:

• Are taking any medication whose side effects may affect you when undertaking supply work in a school;
• Have been advised by a doctor against undertaking certain activities; or
• If you have now, or in the past, had any drug or alcohol problems.

In order to assess your fitness to work with children in an educational setting, we may need to obtain advice from our medical advisor on information disclosed on this health declaration form. It may be necessary for our medical advisor to seek additional information to that which you have supplied on this form. You will be informed in writing if this action is necessary, and sent the necessary consent forms.

We may also need to inform relevant schools about a health condition revealed above so that they can make any necessary adjustments and comply with their statutory health and safety, and safeguarding duties. We will inform you if this is the case.