Ball State University Medical Verification for Air Conditioner Request - Physician’s Statement 2012 free printable template
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Medical Verification for Air Conditioner Request Physician s Statement Ball State University Student Affairs Housing and Residence Life 765-285-8000 Voice 765-285-2208 TDD The Ball State University
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How to fill out Ball State University Medical Verification for Air
How to fill out Ball State University Medical Verification for Air Conditioner
01
Obtain the Ball State University Medical Verification form from the university's website or student health services.
02
Fill out your personal information at the top of the form, including your name, student ID, and contact information.
03
Provide details about your medical condition that necessitates the use of an air conditioner.
04
Have a licensed medical professional complete the section that confirms your condition and the need for an air conditioner.
05
Review the completed form for accuracy and completeness.
06
Submit the form to the designated office at Ball State University, either in person or via email, according to the submission guidelines.
Who needs Ball State University Medical Verification for Air Conditioner?
01
Students at Ball State University who have a medical condition that requires the use of an air conditioner for health and comfort reasons.
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What is Ball State University Medical Verification for Air Conditioner?
It is a document that verifies the medical need for an air conditioner in university accommodations for students with specific health conditions.
Who is required to file Ball State University Medical Verification for Air Conditioner?
Students seeking accommodations for medical reasons related to temperature regulation or other health conditions are required to file this verification.
How to fill out Ball State University Medical Verification for Air Conditioner?
Students must complete the form by providing personal information, details of the health condition, and a healthcare provider's signature to confirm medical necessity.
What is the purpose of Ball State University Medical Verification for Air Conditioner?
The purpose is to establish a legitimate medical basis for providing an air conditioner in student accommodations to support health and well-being.
What information must be reported on Ball State University Medical Verification for Air Conditioner?
The form requires personal details, a description of the medical condition, the recommended accommodations, and a healthcare provider's statement.
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