Get Disability Verification Form - Niagara University - Niagara

Navigating the process of filling out the Disability Verification Form is essential for students seeking accommodations at Niagara University. This guide provides comprehensive, step-by-step instructions to ensure that users can complete the form accurately and efficiently.

Follow the steps to successfully complete the Disability Verification Form online.

1. Press the ‘Get Form’ button to obtain the Disability Verification Form, which will open in your online editor.
2. Fill out the student information section by entering the last name, first name, date of birth, today's date, address, phone number, city, state, and zip code.
3. In the certifying provider information section, provide the name and credentials of the health provider, their address, city, state, zip code, and license number. Ensure the provider signs the form.
4. In the diagnostic data section, enter the date of initial diagnosis, date of the most recent evaluation, and provide a detailed diagnosis along with any secondary or tertiary diagnoses.
5. Describe the individual's functional limitations caused by their condition(s) in the designated area, ensuring to connect these limitations with potential accommodations.
6. Assess and describe the current status of the individual's condition, indicating if it is active, controlled, or in remission.
7. List the major life activities that are currently and substantially impaired due to the individual's condition.
8. For specific disabilities, attach any requested additional information relevant to the diagnosis to support accommodation requests.
9. In the therapeutic interventions/medications section, describe any treatments, medications, and their effects, as well as compliance with the treatment plan.
10. In the recommendations for the college environment section, check the accommodations recommended and provide rationale for each option selected.
11. Review all sections to ensure completeness and accuracy, making any necessary changes.
12. Once the form is filled out, save changes, and consider downloading or printing a copy for your records.

Complete your Disability Verification Form online today to ensure you receive the accommodations you need.