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Criteria for Documentation of Physical/Health Impairments

  • Student Name
  • Social Security Number
  • Date of birth
  • Date of evaluation
  • DSM diagnosis
  • Describe the functional nature of the impairment
  • Is the impairment stabilized? What is the prognosis?
  • Describe current medications and possible side effects
  • Is the student stabilized on the medication?
  • Are there crisis episodes associated with the impairment?
  • Describe the student’s functional limitations in an educational setting.

NOTE:  The College reserves the right to request annual updates from appropriate healthcare providers in order to continue to make recommendations for reasonable accommodations.