CALL 0300 300 2240


Access Assessment Form

Before filling in the form

Please fill out the form with as much detail as possible. If you have difficulty completing this application form please contact the RDAC for assistance on 0300 300 2240.

Things you will need to complete this form

  • Driving License
  • GP details
  • Solicitor information
  • Medication detail

Unfortunately RDAC are unable to offer the services of an interpreter.