UniAccess Registration Form

* indicates a required field

Student Information

Please enter your information

Are you a currently enrolled student?(Required) *
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Please use your university issued email address, e.g. studentid@student.uwa.edu.au

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Birth Date
Have you had an appointment with UniAccess previously?(Required) *

If you would like to provide documentation relating to your condition prior to your appointment, please upload as indicated below. If you do not have relevant documentation about your condition or caring responsibilities, please ask a Health Professional to complete this form and bring with you when you see us.