OK, practical advice. A patient report form is a legal document and needs to be as legible as possible. You may only have a few minutes to write your observations down. I know that you know the difference between text speak and formal writing but it is worth getting into the habit of writing correctly and especially when asking for advice. Secondly, keep reading this blog and if there are things you don't understand then do ask. There is a wealth of knowledge and experience on here of the job as it actually is. Finally, although at the moment the academic requirements are GCSE's, that may change, so try and achieve the best results that you can. Don't give up on your goal and you will get there. Good luck.