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3100 Telegraph Avenue, Suite 1000 Oakland, CA 94609 fax: 510.869.1551 tel: 510.869.6616 DisabilitySupportServices samuelmerritt.edu DISABILITY SUPPORT SERVICES INTAKE FORM To request accommodations

How to fill out disability support services intake

How to fill out disability support services intake:

1. Start by obtaining the disability support services intake form from the relevant organization or agency. This form is typically available online or can be requested from their office.
2. Read the instructions carefully to understand the information required and the purpose of the intake form. Familiarize yourself with any specific guidelines or requirements mentioned.
3. Begin by providing your personal details such as your name, address, contact information, and date of birth. Make sure to provide accurate and up-to-date information.
4. Next, indicate the nature of your disability or condition. Depending on the form, you may need to provide a brief description or specify the disability category. Be honest and provide as much relevant information as possible.
5. Elaborate on any special needs or accommodations that you may require. Clearly explain any challenges or limitations you face due to your disability. This will help the service provider understand your unique requirements.
6. If applicable, provide information about your medical history and any medications or treatments you are currently undergoing. This will give the service provider a comprehensive understanding of your health condition.
7. Include any relevant documents or supporting materials, such as medical reports, assessments, or letters from healthcare professionals. These documents can provide additional information and support your intake application.
8. Review the completed form to ensure all sections are filled correctly and accurately. Make any necessary corrections or additions before submitting the intake form.
9. Sign and date the form as required, demonstrating your consent and agreement to provide the information requested. This shows your understanding of the purpose and use of the intake form.
10. Finally, submit the completed disability support services intake form according to the instructions provided. This may involve mailing the form, submitting it online, or delivering it in person.

Who needs disability support services intake?

1. Individuals with disabilities or special needs who require assistance, support, or accommodations in various aspects of their lives may need to fill out a disability support services intake form. This could include individuals with physical disabilities, intellectual or developmental disabilities, mental health conditions, sensory impairments, and other related disabilities.
2. Parents or guardians of children with disabilities often need to complete an intake form to access specific services or supports for their child. This allows service providers to better understand the child's needs and tailor their services accordingly.
3. Educational institutions, social service agencies, healthcare providers, and other organizations that provide disability support services often require individuals to complete an intake form to assess their needs and eligibility for the services offered. This helps establish a comprehensive understanding of the individuals' situation and effectively allocate resources and assistance.

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What is disability support services intake?

Disability support services intake is the process of registering and providing necessary information to receive support services for individuals with disabilities.

Who is required to file disability support services intake?

Individuals with disabilities or their caregivers are required to file disability support services intake.

How to fill out disability support services intake?

To fill out disability support services intake, individuals or caregivers need to provide personal information, details of disability, medical history, and support needs.

What is the purpose of disability support services intake?

The purpose of disability support services intake is to assess the support needs of individuals with disabilities and connect them to appropriate services and resources.

What information must be reported on disability support services intake?

Information such as personal details, disability diagnosis, medical history, support needs, and contact information must be reported on disability support services intake.