Form
Health Adjustment Passport
This form can be used to support you to identify what help and changes are available to help you move into work or stay in a job.
Documents
Details
The Health Adjustment Passport can be used if you have a disability or health condition that makes it harder for you to move into work or stay in a job.
You can use it to:
- support you to identify what support and changes (known as reasonable adjustments) you may need when you are in work or moving into work
- apply for support from Access to Work. This could include funding for specialist equipment to support you to do your job, support getting to and from work or support when you are in work, such as job coaching
- help you talk to employers about adjustments and in-work support that you may need
A job could also include self-employment, an apprenticeship, work experience or a supported internship.
Updates to this page
Published 28 July 2022
Last updated 12 June 2023 + show all updates
Last updated 12 June 2023 + show all updates
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Added Health Adjustment Passport completion notes.
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Added Health Adjustment Passport easy read, large print and ODT versions - English and Welsh.
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Added translation