How I can create a bespoke report to support you
Letters & Reports
As well as direct sessions, I write letters and reports that translate someone's needs into something useful for the people and systems around them, whether that's a GP, university, an employer, or a benefits assessor. Each one draws on relevant documentation, a focused conversation, and my professional understanding of how a condition typically affects day-to-day function.
Most frequently requested letters/reports (if yours isnt covered her do email to see if i can help):
GPs and other health professionals
Summaries of strengths and needs, sensory or processing profile, or support for onward referrals are written to give a practical picture
Workplace or Higher Education Adjustment Assessment & Report
Workplace (or university) facing letters describing reasonable adjustments and practical accommodations written to be usable by HR or a line manager without requiring a clinical background to understand.
A collaborative assessment exploring:
how you work/study
what challenges you experience
what supports you
what adjustments would make it more sustainable
You’ll receive a clear, practical report with specific recommendations you can give to your employer, HR, or Occupational Health, or uni
How My Assessments Work
My approach is neuroaffirming and grounded in the social model of disability.
This means:
I focus on your lived experience, not just your diagnosis.
I do not base recommendations solely on diagnostic reports.
I do not reference diagnostic reports directly in your workplace report.
Adjustments are designed from what you tell me about your day‑to‑day experience, strengths, challenges, and working environment.
Recommendations are tailored to your actual role, workload, and demands.
This ensures your report reflects you, not a generic list of adjustments.
Why This Helps You
Gives you a clear, structured way to request adjustments
Helps you advocate for your needs without having to “prove” anything
Provides your employer /uni with practical steps they can implement
Supports you to stay well and sustainable at work/stuies
Helps reduce overwhelm, burnout, and sickness absence
PIP reports
Reports describing how a person's needs affect the daily living and mobility activities PIP assesses, written to reflect functional impact.. These draw on any existing diagnostic evidence, a focused conversation about specific real-life examples, and my professional knowledge of how the relevant condition(s) commonly affect function.
Nimbus Access Card
Supporting letters or assessments for the Nimbus (Access) Card, describing needs across the areas the card evidences queuing and waiting, sensory environment, companion support, communication, and toilet access so venues and events can understand what adjustments are needed without repeated explanation.
Other requests
Housing, social care, or other organisations sometimes ask for similar functional letters. Get in touch, and I can let you know if this is something I'm able to provide.
Sensory profile (using my tool- not a standardised assessment)
Your sensory profile is analysed & suggestions given of what might support your profile, including specific items.
Turnaround and cost
This depends on many factors, such as how many documents you have to share with me, how long we need to talk everything through together and how large the report will be. I'll confirm the likely scope, cost, and turnaround with you before starting, please do request a quote.
Reports and letters start at a discounted rate for self-funders: £85 per hour of assessment and £50 per hour for writing
Are results guaranteed?
I write these based on what I know from our conversation and any documentation provided, focused honestly on function and need. I can't guarantee a particular outcome from DWP, Nimbus, your GP, workplace or any other assessor, and I'd always encourage you to also share your own account of how things affect you day to day.
The letter supports your case, but it isn't a substitute for it. It's also worth checking whether you already hold evidence (such as a diagnostic report or an existing benefits award letter) that may be accepted on its own before commissioning something new.
Those reports written for clients I support on a 1:1 basis with regular OT input will be stronger as we have a background of knowledge to draw from, as well as this often holding more weight with assessors due to our ongoing therapeutic relationship.
Testimonials for reports & Letters:
"Thank you again for your support in helping me understand my issues and being able to express that to them! Your help has been invaluable and your skills, expertise and support is so very much appreciated"- PIP supporting letter & support with application
"I'm so glad to have found Alex, she made a very difficult process (justifying my disability) as easy and anxiety-free as possible. Every step was made clear at the start, and she was very easy to talk to and be open with."- NIMNUS card supporting letter
Pop me a message!
Address:Derby, England
Email: Send me a message
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