Get Certification Of Psychological Disability Pdf - Disabled Students ...

Filling out the certification of psychological disability form is an essential step for students seeking accommodations due to psychological impairments. This guide will walk you through each section of the form, ensuring you provide the necessary information to support your request.

Follow the steps to complete the form accurately.

1. Click ‘Get Form’ button to access the form and open it in your preferred online editor.
2. Begin by filling out the student's name and today's date at the top of the form. Ensure that you provide accurate details in the format specified.
3. In the DSM-5 section, include all relevant diagnostic information, including subtypes and any appropriate codes that pertain to the student's condition. This information is critical for establishing the student's eligibility.
4. Describe the focus of clinical treatment, ensuring that you detail any psychosocial or environmental stressors and related medical conditions that may affect the student.
5. Next, indicate the date of the diagnosis and the last time the student was seen by a diagnosing professional. Accurate dates provide context for the current condition of the student.
6. Provide a comprehensive description of the student's history concerning their presenting symptoms, including duration and any relevant developmental or historical factors.
7. Check the major life activities affected by the psychological diagnosis and indicate the level of limitation for each activity. Use the options provided: no impact, moderate impact, severe impact, or don’t know.
8. Answer questions regarding any past psychiatric hospitalizations and current medications. This section should provide insight into the seriousness and treatment of the condition.
9. Assess the current condition of the student by selecting from the options available: stable, improving, worsening, or cyclically variable. This helps in evaluating the prognosis.
10. Mark the overall level of severity of the condition and estimate how long the academic performance may be affected by this disability.
11. Complete the certifying professional section, ensuring that the professional’s name, signature, title, license number, address, and contact information are accurate.
12. Finally, review all information for accuracy and completeness. Save your changes, then download, print, or share the completed form as necessary.

Complete the certification of psychological disability form online today to ensure timely processing of accommodations.