Get Medical/psychological Disability Assessment. In Order To Determine Eligibility And To Provide

Filling out the Medical/Psychological Disability Assessment is a crucial step in obtaining necessary accommodations for individuals with disabilities. This guide offers detailed instructions to help users complete the form accurately and efficiently.

Follow the steps to complete the Medical/Psychological Disability Assessment form.

1. Click ‘Get Form’ button to obtain the form and open it in your preferred online editor.
2. Begin by filling out the student's full name and address in the designated fields at the top of the form.
3. Record today’s date and the date the student was last seen by a professional in the provided spaces.
4. Indicate the date of diagnosis, ensuring that the format is clear and easy to read.
5. In the impairment assessment section, list the medical/psychological diagnosis of the impairment by name and code (ICD/DSM IV). Be thorough and concise.
6. Select the expected duration of academic impact from the options provided; this will help in understanding the necessary accommodations.
7. Provide a prognosis and possible effects the impairments may have within an academic environment. Use clear language that describes the impact.
8. Indicate whether the student is currently under the care of the professional filling out the form by checking the 'Yes' or 'No' box.
9. List any current prescribed medications and the possible effects these may have in an academic setting.
10. In the major life activities assessment section, circle any activities that are substantially affected by the impairment(s). This provides insight into the challenges faced.
11. Add any additional comments relevant to the assessment that may help in understanding the student's needs.
12. Complete the certifying professional information section by providing the printed name, signature, license number, address, telephone, and fax number. Ensure all information is accurate.
13. After completing the form, save any changes and prepare to download, print, or share the form as needed.

Complete your Medical/Psychological Disability Assessment online today to ensure timely support for your needs.