Get Connecticut College Asthma And Allergy Verification 2018-2025

Completing the Connecticut College Asthma and Allergy Verification form is a crucial step in establishing eligibility for accommodations for students with asthma and allergies. This guide provides a clear, step-by-step approach to successfully filling out the form to ensure accurate and timely submission.

Follow the steps to complete the form efficiently.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Provide the student's name, email, and phone number in the designated fields, ensuring all information is accurate for effective communication.
3. The student's physician will need to fill out sections regarding the diagnosis. Please ensure that the physician states the diagnosis along with the date it was made in the appropriate fields.
4. Include details about the duration of care and the last visit date, ensuring accurate timestamps are recorded.
5. Indicate the expected duration of the impairment and how often the student should check-in with the physician for ongoing care.
6. List the procedures or assessments used for diagnosis, attaching any relevant test results if required.
7. Assess the severity of the condition, selecting from options such as mild, moderate, or substantial. Provide comments if necessary.
8. Document any emergency room visits or hospitalizations related to the condition in the past year.
9. If applicable, indicate the use of an inhaler, nebulizer, or prescription medications, detailing their dosages and frequency.
10. Describe any environmental factors that exacerbate the condition to round out the medical perspective.
11. Provide recommendations for reasonable accommodations based on the identified needs and functional limitations.
12. Include alternatives if the requested accommodations cannot be met, and any additional comments that may help clarify the case.
13. The physician should sign and date the form, providing their name, academic credentials, license number, and contact information.
14. After completing the form, users can save changes, download, print, or share the finished document with the designated office.

Complete the Connecticut College Asthma and Allergy Verification form online today to ensure support for students with asthma and allergies.