Toilet Pass & Medical Letters: A Quick Guide
Empowering comfort and dignity for every student
Toilet Pass
Children with medical conditions like IBS, Crohn’s, UTIs, Type 1 diabetes, neurological issues, or those experiencing sudden, uncontrollable urges, often need unimpeded bathroom access at school. Yet many are halted at the door, forced to wait for permission and risk accidents or distress.
What Is a Toilet Pass?
A school-issued pass (card, lanyard, or file note) signals that a pupil may leave class immediately to use the loo. While schools grant the pass, a supporting medical letter provides the required background and rationale, to enable schools approve the same.
Common Medical Reasons
UTIs & Overactive Bladder: Frequent, urgent urges and possible daytime accidents.
Type 1 Diabetes: Polyuria (excessive urination) from high blood sugar.
Constipation & Encopresis: Overflow soiling and pain lead to withholding or accidents.
IBS & IBD: Unpredictable diarrhoea, constipation, or crampy pain with urgent need.
Neurological/Structural: Neurogenic bladder/bowel or catheter programmes require scheduled access.
Uncontrollable Urge: Immature control causes sudden, intense need with almost no warning.
How a GP Letter Helps
Clarifies medical need: Details the condition and urgency patterns.
Reduces stigma: Empowers staff to allow breaks without question.
Supports health: Prevents fluid restriction, accidents, and anxiety.
