• Criteria for Documentation of Learning Disabilities
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• Criteria for Documentation of ADD/ADHD Disorders
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• Criteria for Documentation for Psychiatric/Mental Health Impairments
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• Criteria for Documentation of Physical/Health Impairments
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• Criteria for Documentation of Blind and Low Vision Impairments
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• Criteria for Documentation of Deaf and Hard-of-Hearing Impairments

Criteria for Documentation of Blind and Low Vision Impairments

1. Student Name
2. Social Security Number
3. Date of birth
4. Date of evaluation
5. Diagnosis
6. Visual Acuity (with and without correction, near and distant vision; attach test results)
7. Is the loss in vision stable or progressive? Describe and include prognosis.
8. Does the student use prescriptive lenses? For near or distant vision?
9. Have low vision aids been prescribed? If so, describe recommendations for use.
10. Is there impairment in color perception?
11. Does the student benefit from special lighting requirements?
12. Describe the student’s functional limitations in an educational setting.
13. Please describe any mobility issues/concerns associated with the student's visual impairment.
14. What are your recommendations regarding academic accommodations for this student?
15. Name, signature, and title of evaluator
16. Date