UCL Doctorate In Clinical Psychology


Useful Forms

There are a number of forms and protocols that are relevant to different aspects of the course - these can be found within the relevant tab

Clinical Placement - Supervisor & trainee feedback forms
Portfolio of Clinical Experience and Cumulative Training Records
Forms: Trainee Research

Here are some forms related to the Major Research Project. For guidance on which ones to use and how to complete them, please consult the relevant course document, e.g. the Research Governance Checklist. Note that some forms cannot be listed here, either because they need to be completed online on a separate website, or because there's no electronic version available.

Getting started

Statement of Intent Form

Research Proposal Form

Risk Assessment Form

Proposal for Research Expenses

Participant Receipt Form

Consultant Receipt Form

Progress review forms

Research Progress Review Form, Year 2 Term 2

Research Progress Review Form, Year 2 Term 3

Research Progress Review Form, Year 3 Term 2

Research Supervisor Appraisal Form

Prior to submission

Title and Abstract Form

Thesis Declaration Form

Thesis Submission Extensions Form

Thesis Submission Deferrals Form


Developmental Reviews
Client Consent Forms and Client Feedback Questionnaires
Clinical Reports - Supervisor Confirmation of Clinical Report Details
Annual Leave Monitoring

Intake 2015

Please use the below form for recording your AL:

Annual Leave Form - Intake 2015

Intake 2016

Please use the below form for recording your AL. Please see the example form for guidance on how this should be completed:

Annual Leave Form - Intake 2016

Annual Leave Form - Intake 2016 Example Form

Forms for Members of Staff

Interruption of Study Form

Interruption of Study Form (Appendix)

Please note that both the Interruption of Study Form and the Interruption of Study From (Appendix) must be completed

MPR semi structured interview


Clinical Vivas

Maternity Leave (Keeping in Touch/KIT days)
Extenuating Circumstances


It is no longer possible for students to apply for extenuating circumstances to be taken into account in advance of taking an examination.  If you know in advance that you may not be well enough, or other significant circumstances might seriously impact on your exam performance, then you are encouraged to consider applying to defer the exam (an option that should be discussed with the Course Tutor, and that we hope would only rarely occur). If this applies to you, please arrange to meet your tutor as soon as possible, or contact Pasco Fearon (p.fearon@ucl.ac.uk). If an extenuating circumstance took effect suddenly and unpredictably then it is possible to submit an EC form after the examination has taken place - further information can be found here: http://www.ucl.ac.uk/srs/academic-manual/c4/extenuating-circumstances/consideration#top.

Extenuating Circumstances Form

Case Reports/Service Related Research Project

Guidance on Extenuating Circumstances for Case Report/SRRP submissions are found in Section 25 of the Course Handbook


Request to Defer Clinical Report Submission

This form is used to request an extension of longer than one week on the grounds that a practical problem has arisen on placement that means that there is a predictable delay in gathering the clinical material for the report. Examples would be:

· where the plan is to submit a 'completed treatment' report but the patient fails to attend the final session because of physical illness; a further appointment has been arranged but this will not take place until after the submission deadline.

· where completion of multi-disciplinary assessment is delayed because the final assessment has been unexpectedly postponed by a senior colleague; a new date has been scheduled, but this will not take place until after the submission date.

The completed form should be sent to Will Mandy (W.Mandy@ucl.ac.uk), cc'ing Julia Curl and Daniel McQuade