Get Ia Ble Form D 2000-2025

Filling out the IA BLE Form D for testing accommodations is a crucial step for individuals seeking support for ADD/ADHD. This guide will provide clear, step-by-step instructions to help you complete the form accurately and efficiently online.

Follow the steps to complete the form successfully.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the name of the applicant requesting testing accommodations at the top of the form.
3. Provide the name of the physician or licensed professional who is completing the form in the designated field.
4. Fill out the address section with the street address or P.O. Box number, city, state, and zip code of the physician or licensed professional.
5. Enter the telephone number of the physician or licensed professional in the corresponding field.
6. Specify the title and specialty of the physician or licensed professional responsible for verifying the applicant’s condition.
7. Describe the credentials that qualify the physician or licensed professional to diagnose and recommend accommodations for ADD/ADHD.
8. Summarize the applicant’s current self-reported symptoms of ADD/ADHD.
9. Indicate whether the symptoms are secondary to ADD/ADHD and provide explanations or evidence of any comorbid conditions if applicable.
10. Document the applicant's history of childhood ADD/ADHD and any supporting evidence reviewed for this history.
11. Provide evaluations of the applicant’s overall cognitive ability, academic ability, and processing ability, along with supporting explanations.
12. State if the applicant is being treated for ADD/ADHD and describe the treatment.
13. Explain how the condition limits the applicant’s performance in major life activities and how it affects their exam completion.
14. Detail any objective evidence supporting that requested accommodations will facilitate the applicant’s test performance.
15. Make recommendations for testing accommodations based on the applicant’s functional limitations.
16. Discuss potential corrective measures that could improve the applicant’s ability to take the examination.
17. Have the physician or licensed professional sign and date the form to confirm the accuracy of the information provided.
18. Once all the information is completed, you can save changes, download, print, or share the form as needed.

Complete your documents online to ensure efficient submission and ease of access.