Get Disability Information Release Form - Human Resources - Columbia ...

Filling out the Disability Information Release Form is an important step for individuals seeking accommodations through the Columbia University Office of Disability Services. This guide provides a clear, step-by-step approach to completing the form online with confidence and ease.

Follow the steps to complete the form online

1. Use the ‘Get Form’ button to access the Disability Information Release Form and open it in your preferred document editor.
2. Begin by entering your name in the designated field, identifying yourself as the employee.
3. List the names of all physicians and/or clinicians whose documentation you are providing in the specified sections.
4. For each physician or clinician listed, complete the permission statement that includes their name and information to be shared. Ensure accuracy and clarity.
5. Sign your name in the Employee Signature field to confirm your consent for information release. Make sure to date your signature using the mm/dd/yyyy format.
6. If required, include a witness signature in the provided field next to the date.
7. Repeat steps 3-6 for each additional physician or clinician you are including in the form.
8. Review the entire form for completeness and accuracy. Ensure all required fields are filled.
9. Once satisfied, save any changes made to the form, and choose to download or print the form as necessary.
10. Submit the completed form to the Columbia Office of Disability Services at the specified address or via fax.

Complete your Disability Information Release Form online now to ensure a smooth process for obtaining accommodations.