Get University Of California Santa Barbara Documentation Of Psychological Condition 2013-2025

This guide provides a comprehensive overview on how to complete the University Of California Santa Barbara Documentation Of Psychological Condition form online. By following these instructions, users can ensure that they accurately fill out the necessary information to request services or accommodations through the Disabled Students Program.

Follow the steps to successfully complete the form.

1. Click ‘Get Form’ button to obtain the form and open it in the online editor.
2. Begin by filling in the student's personal information at the top of the form. This includes the student’s name, date, telephone number, full 7-digit perm number, and email address.
3. In Section I, provide the DSM-5 diagnosis which includes all relevant diagnostic information, subtypes, and specifiers. Indicate the focus of clinical treatment and any pertinent DSM-5 codes.
4. Next, indicate the overall level of severity of the condition by checking the appropriate box (mild, moderate, severe, partial remission, or residual state). Provide details about the symptoms that impact the student.
5. In Section II, summarize the treatment details by providing a brief overview of the diagnostic interview, including chief complaints, history of symptoms, and treatment background, such as the number of sessions and the date of first consultation.
6. Address questions regarding the student's current danger to self or others, any hospitalizations for psychiatric reasons, and the stability of the condition (stable, improving, worsening, cyclically variable).
7. List prescribed medications and dosages. Indicate if the student is compliant with their medication regimen and whether the medication mitigates symptoms.
8. Proceed to Section III, which addresses the impact of the condition on major life activities. Indicate the extent of the impact (unknown, no impact, minimal, moderate, severe) for each listed activity, providing data-based evidence when possible.
9. In Section IV, describe the methods used to assess functional limitations, selecting applicable methods such as interviews, behavioral observations, or testing. Provide further explanations where necessary.
10. Finally, have the diagnosing professional sign the form and fill in their printed name, license or certification number, telephone, and fax details before completing the date of the form.
11. After completing all sections, review the form for accuracy. Users can save changes, download, print, or share the form as needed.

Complete your documentation online to request the necessary accommodations.