Request for Special Arrangements
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Complete this section if you have a particular medical condition requiring special arrangements to be made. Examples include health or other conditions requiring support to enable you to take the test in a comparable way to all other candidates.
Authorization to disclose health information to third parties regarding OET special arrangements (OET on paper) requests and release of liability
If you wish for us to share any information about your accommodation request with any third party, you should complete this form. To protect your personal information, and subject to its Privacy Policy, OET will not respond to inquiries from or provide information to third parties regarding your accommodation request unless you have specifically authorized us to do so through this form. By submitting this form, you are authorizing the OET and its officers, employees and agents to disclose, to the individuals you have designated below, any information to which OET has access related to your accommodation request, including but not limited to, the nature of your request, status of review of the request, and any information concerning your mental and/or physical health.
Also, by submitting this form, you are releasing OET and its officers, employees and agents from any claims, demands or liability related to or resulting from the disclosure of such information by OET, its officers, employees or agents. OET reserves the right at its sole discretion to determine whether to disclose any information, and if so, which information to disclose to those individuals you have designated. This form does not in any way obligate OET to release any information.
I, hereby voluntarily authorize to collect my information and OET personnel to discuss at their discretion any information to which OET has access related to my accommodation request (including but not limited to my personal, mental and/or physical health information) with the following individual(s) with our third-parties who assist in test administration.
Terms of UsePlease read the CBLA Privacy Policy, Collection Notice and Terms and Conditions.