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This document is used by health care providers to assess and document the medical disability of a patient for the purpose of requesting special accommodations in residence life at Philadelphia University.
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How to fill out medical documentation of disability
How to fill out Medical Documentation of Disability for Special Consideration in Residence Life
01
Obtain the Medical Documentation of Disability form from the residence life office or their website.
02
Read the instructions carefully to understand what information is required.
03
Provide your personal details, including your name, student ID, and contact information at the top of the form.
04
Ask your healthcare provider to fill out the section regarding your disability, ensuring that they include specific details about your condition.
05
Ensure that the documentation includes the diagnosis, the impact on your daily living, and why special consideration is necessary.
06
Have your healthcare provider sign and date the form.
07
Review the completed form for accuracy and completeness before submitting.
08
Submit the form to the residence life office by the specified deadline.
Who needs Medical Documentation of Disability for Special Consideration in Residence Life?
01
Students who have a diagnosed disability that affects their ability to live independently in residence.
02
Students seeking accommodations such as room modifications, special housing assignments, or other supportive measures.
03
Students who are registered with disability services and require additional assistance in residence life.
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People Also Ask about
What is an example of a medical accommodation letter from a doctor?
[Example 1] As a result of [Name]'s disability, she occasionally experiences episodes of disorientation and dizziness. During these episodes, [Name] must sit or lie down for a few minutes to recover. Therefore, [Name] needs, as an accommodation, permission to take these short breaks.
What is an example of an accommodation request letter?
Dear [Supervisor John Smith], I am writing to request job accommodations for my diabetes under the Americans with Disabilities Act. Due to my disability, I require simple accommodations to perform my essential job functions. I have provided you with documentation of my disability and my need for job accommodations.
What qualifies as a disability for reasonable accommodation?
An individual meets the Americans with Disabilities with Act definition act of “disability” that would qualify them for reasonable accommodations if they have “a physical or mental impairment that substantially limits one or more major life activities (sometimes referred to in the regulations as an “actual disability”)
What is an example of a letter of accommodation from a doctor?
[Example 1] As a result of [Name]'s disability, she occasionally experiences episodes of disorientation and dizziness. During these episodes, [Name] must sit or lie down for a few minutes to recover. Therefore, [Name] needs, as an accommodation, permission to take these short breaks.
What are medical accommodations examples?
Sample Statements If you need disability-related accommodations, please call [insert telephone number of the sponsor]. Persons with disabilities who anticipate needing accommodations or who have questions about physical access may call [telephone number of the sponsor] in advance of the program [or film, event, etc.].
How do I write an accommodation letter for disability?
Content to consider in body of letter: Identify yourself as a person with a disability. State that you are requesting accommodations under the ADA (or the Rehabilitation Act of 1973 if you are a federal employee) Identify your specific problematic job tasks. Identify your accommodation ideas.
What is considered disability documentation?
Statements, records or letters from a Federal Government agency that issues or provides disability benefits. Statements, records or letters from a State Vocational Rehabilitation Agency counselor. Certification from a private Vocational Rehabilitation or other Counselor that issues or provides disability benefits.
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What is Medical Documentation of Disability for Special Consideration in Residence Life?
Medical Documentation of Disability for Special Consideration in Residence Life refers to the official documentation required to support a student's request for academic or housing accommodations due to a disability. This documentation helps ensure that the student receives appropriate support services.
Who is required to file Medical Documentation of Disability for Special Consideration in Residence Life?
Students who are seeking special accommodations in residence life due to a documented disability are required to file Medical Documentation of Disability for Special Consideration.
How to fill out Medical Documentation of Disability for Special Consideration in Residence Life?
To fill out the Medical Documentation of Disability for Special Consideration, students should obtain the necessary forms from their institution, provide complete and accurate information regarding their disability, and have the documentation completed and signed by a qualified healthcare provider.
What is the purpose of Medical Documentation of Disability for Special Consideration in Residence Life?
The purpose of Medical Documentation of Disability for Special Consideration is to verify a student's disability and to outline the specific accommodations that are necessary to support the student's needs in a residence life setting.
What information must be reported on Medical Documentation of Disability for Special Consideration in Residence Life?
The information that must be reported includes the nature of the disability, how it impacts the student's daily functioning, the recommended accommodations, and evidence of the disability's diagnosis, typically provided by a licensed healthcare professional.
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