DOCUMENTATION OF DISABILITY GUIDELINES
Office for Students with Disabilities
Edinboro University
Name, title and credentials of qualified evaluator on
letterhead, typed in English, dated, and signed.
(Qualified Evaluator Defined: Professional
conducting assessments, rendering diagnoses, and
making recommendations related to the disability.)
Clearly state the specific diagnosed disability or
disabilities
Describe functional limitation resulting from
disability or disabilities
Documentation must be current
Comprehensive educational, developmental and
medical history relevant to the disability for which
accommodations are being requested
Description of each accommodation recommended
must include a rationale based on objective
evidence
Discuss side effects of medications and therapies
ATTENTION
DEFICIT
Alternative diagnoses must be ruled out
Include current impact of the disorder on academic
performance, employment and other daily activities
Additional sources of information may be included
(e.g. IEP, 504 plans, prior reports)
Include Interpretive summary
Documentation updates; additional supporting or
historic documentation
Rev. 08/2014
PSYCHIATRIC
DISABILITY
X
X
X
X
X
X
X
X
X
X
X
X
X
X
<5 YEARS
<5 YEARS
<6 MONTHS
(NEW ONSET/
CHANGE)
< 6 MONTHS
X
X
X
X
X
X
X
X
X
X
X
X
HYPERACTIVITY
BLINDNESS/ LOW
VISION
DEAF/ HARD
OF HEARING
INTELLECTUAL
DISABILITY
X
X
OPTOMETRIST OR
OPHTALMOLOGIST
REPORT
AUDIOGRAM
OR
AUDIOMETRI
C REPORT
X
X
X
X
X
X
< 3 YEARS
< 5 YEARS
X
X
X
X
X
X
DISORDER
(ADHD)
X
Include relevant observations of behavior during
testing
Relevant testing instruments used in the evaluation
must include cognitive and achievement tests,
subtest scores used to document the stated
disability; all test scores using standardized adult
measures
LEARNING
DISABILITY
PHYSICAL
DISABILITY
AND CHRONIC
HEALTH
CONDITIONS
AUTISM
SPECTRUM
DISORDER
(ASD)
X
X
X
X
X
ALL
DOMAINS
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X