Get Disability Verification Psychological Disabilities - Kent State ... - Ashtabula Kent

This guide provides clear, step-by-step instructions for filling out the disability verification psychological disabilities form for Kent State University at Ashtabula. By following these guidelines, users can ensure that they complete the form correctly and effectively support their requests for accommodations.

Follow the steps to complete your form accurately and efficiently.

1. Press the ‘Get Form’ button to download the disability verification form and access it in your preferred editing tool.
2. Begin by entering the student's details in the first section. This includes filling out the DSM-IV diagnosis and code, as well as other relevant axes. Make sure to note the date of diagnosis and the last contact date with the student.
3. Indicate whether the student is currently under the care of the diagnosing provider by selecting YES or NO.
4. In the next field, detail the symptoms associated with the diagnosed disorder. Be thorough and precise to provide clear insight into the condition.
5. Describe how the condition substantially limits a major life activity and its impact on the student's academic progress. This is crucial for understanding the need for accommodations.
6. List any current medications the student is taking, including the dosage and frequency. Additionally, mention any potential side effects that could affect academic performance.
7. Detail any additional treatments the student is receiving for managing their disability.
8. Provide any recommendations for accommodations that would assist the student in an academic setting.
9. Include any specific concerns or suggestions for further assistance regarding the student's needs.
10. Fill in the healthcare provider's information, including printed name and title, and sign and date the form. Ensure all contact details are included.
11. Review the completed form for accuracy and completeness before submitting.
12. Once satisfied, save the changes, and if necessary, download or print the completed form for mailing or faxing to the Student Accessibility Services.

Complete your documents online to ensure a smooth application process.