Get Verification Form Of Psychiatric Disorders - Broward College - Broward

Filling out the Verification Form Of Psychiatric Disorders is an essential step for students seeking reasonable accommodations at Broward College. This guide provides clear, step-by-step instructions to ensure that users can complete the form effectively and accurately.

Follow the steps to fill out the verification form online efficiently.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Enter the student's name and ID number at the beginning of the form. Add the date of birth and contact phone number as requested.
3. Ensure that the form is completed by a qualified professional such as a psychiatrist, psychologist, or a licensed mental health practitioner.
4. Fill in the specific diagnosis, ensuring each form contains only one diagnosis. Include the diagnostic code and the date of diagnosis.
5. Indicate the level of severity of the diagnosed condition and specify whether it is acute or chronic.
6. Assess if the student poses any danger to themselves or others, answering yes or no accordingly. If yes, provide additional explanation in the space provided.
7. Record the date of the first and last visit, along with the frequency of visits to the mental health professional.
8. Outline the projected duration of treatment to give context for the accommodations being requested.
9. List relevant tests and clinical observations utilized to reach the diagnosis.
10. Describe the symptoms that align with the provided diagnosis, ensuring clear and comprehensive details.
11. If applicable, detail any medications the student is taking that may impact their learning capabilities, along with associated side effects.
12. Discuss the student’s functional limitations in an educational setting to assist in determining needed accommodations.
13. Provide specific recommendations for accommodations to support the student’s education.
14. Finalize the form with the diagnostician's signature, title, and contact information, ensuring all required fields are completed.
15. Once all the information is filled in, review the document for accuracy. Save changes, and prepare to download, print, or share the form as needed.

Complete your verification form online now to ensure you receive the necessary support for your academic journey.