Follow the steps to fill out the form correctly

1. Press the ‘Get Form’ button to access the medical verification form and open it in the online editor.
2. Enter the student’s last name, first name, and middle initial in the designated fields. Ensure that the names are spelled correctly to avoid any discrepancies.
3. Fill in the program title that the student is enrolled in. This helps to identify the context for the accommodations needed.
4. Instruct the healthcare professional to complete the section titled ‘Diagnosis’ accurately. This section must provide a clear description of the medical condition or injury.
5. The healthcare professional should indicate the student’s ability to participate in physical activities by checking the appropriate boxes: Cleared, With Modification, or Not Cleared for each activity listed.
6. For the General Education Activity section, the healthcare professional must evaluate and check the corresponding status for each activity the student is expected to perform.
7. The healthcare professional should provide a description of the expected duration of the condition and mark whether it is permanent or temporary, or specify a re-evaluation date if applicable.
8. Request the healthcare professional to describe any specific accommodations or modifications that are recommended for the student to succeed in their courses.
9. Ensure the certifying professional completes their signature, date, printed name, professional title, and license number in the respective fields.
10. Review all the filled fields for accuracy. Users can then save any changes, download, print, or share the completed form as needed.

Complete your medical verification form online today to ensure timely accommodations.