Can I request adjustments during a fostering medical check?

Yes. A fostering medical check should be arranged in a way that enables you to take part fairly and provide reliable information about your health. Adjustments are considered according to your individual circumstances, the purpose of the appointment and what the medical professional needs to assess.

Adjustments may be relevant if you have a disability, long-term health condition, neurodivergence, anxiety, sensory needs, a communication difficulty or limited English. They can also help if a particular part of the assessment is likely to create a practical barrier. You do not need to wait until the appointment to raise this, and you only need to share information that is relevant to arranging the support.

• Ask the agency what information the clinician needs before the appointment and explain any barriers you may face.
• Be specific about what would help you take part, rather than only naming a diagnosis or condition.
• Confirm any agreed arrangements in writing, including who will provide them.
• Tell the clinician if an agreed adjustment has not worked or if you need to pause and clarify a question.

Possible arrangements could include a quieter setting, clear written instructions, permission to use an aid that you normally rely on, or the option to have a suitable person assist with understanding the process. The appropriate arrangement depends on the appointment and must not prevent the clinician from obtaining an accurate medical history or carrying out any necessary checks.

Adjustments do not mean that relevant health information can be omitted, nor do they guarantee a particular medical opinion. The clinician still needs to consider whether your health is compatible with fostering and may ask follow-up questions or request further evidence. However, the assessment should distinguish between a health matter and a difficulty caused by an inaccessible process.

If you have concerns about privacy, ask how your request and medical information will be recorded and who will receive it. Medical details should be handled appropriately, with the agency receiving the information it needs for the fostering assessment rather than unnecessary personal detail.

If a requested adjustment cannot be provided, ask the agency or clinician to explain the reason and whether another arrangement could remove the same barrier. You can also raise the issue with the person responsible for your fostering assessment. Keeping a note of what you requested and the response can make it easier to resolve misunderstandings.

Requesting an adjustment should not, by itself, be treated as evidence that you cannot foster. The relevant question is whether the assessment has been completed properly and whether you can meet the needs of a child safely, consistently and with appropriate support.