T12 Response to feedback and next steps — Blank form
2026 digital edition · Dr Naeem Aziz DGM FRCP · 1 min read
Print this blank worksheet and complete it privately. Responses are not collected by the website. Do not include identifiable patient information. This is a planning aid, not an official application form.
Blank reusable form
Read with chapter 18
Separate understanding the decision, correcting facts, further development and any formal review or appeal. Check deadlines immediately.
Decision and date received
Retain the decision and the applicable process documents.
Finding or reason
Record each material point accurately without assuming its meaning.
Your response and evidence
State agreement, uncertainty or a specific factual disagreement and its basis.
Type of next step
Clarification, correction, development, opportunity request or formal process.
Time limits and advice
Check the operative deadline and responsible recipient; record the source.
Actions and support
Identify proportionate action, owner, resources and evidence.
Review and wellbeing
Plan follow-up and appropriate support while keeping employment and development questions distinct.