Medical Documentation

Explore the Disability Resource Center

The Disability Resource Center provides academic accommodations for students with diagnosed disabilities. The purpose of this form is to guide your medical provider in documenting applicable disability information for determining accommodation eligibility.

If you have a previously documented disability or have had a recent diagnosis, please download this verification form and take it to your healthcare provider to complete.

Verification of Disability Form

Important Notes

The individual completing this form must be a healthcare professional who is:

  1. Qualified to assess and diagnose your current condition, or
  2. Is part of the treatment plan for a previously diagnosed condition.

These professionals must be certified or licensed to diagnose and/or treat medical conditions:

  1. Psychiatrist, psychologist
  2. Therapist, social worker
  3. Medical doctor
  4. Optometrist, speech-language pathologist

Once the form is completed, please return it to the DRC.

  1. Bring the form into the office in person.
  2. Have the doctor’s office email the form to the DRC or fax it to (567) 661-7007.
  3. Upload your medical documentation below.

The information you provide will be kept in your file at the Disability Resource Center, where it will be stored securely and confidentially.

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