Get the free Disability Services Intake Form - buhdedub

One Main Street, Suite GSB314 Houston, Texas 770025293 (713)2215078 FAX: (713)2237445 disability services UHD.edu www.uhd.edu/disability/ Office of Disability Services Intake Form Personal Information

How to fill out disability services intake form

How to fill out a disability services intake form:

1. Start by reviewing the instructions: Before completing the intake form, carefully read through all the instructions provided. Familiarize yourself with the required information and any additional documentation that may be requested.
2. Personal information: Begin by providing your personal details, such as your full name, date of birth, address, phone number, and email address. Ensure that all the information provided is accurate and up-to-date.
3. Disability information: The intake form may require you to provide information about your disability. Be prepared to describe your disability, its impact on your daily life, and any specific accommodations or services you may require.
4. Medical information: You may need to provide relevant medical information, such as diagnosis, medical history, and treating physician's contact information. Include any supporting documents, test results, or medical reports that may strengthen your case.
5. Educational background: Fill in your educational history, including the schools or institutions you have attended, dates of attendance, and any specific accommodations or services received during your education.
6. Employment information: If applicable, provide details about your current or past employment. This may include job titles, employers, dates of employment, and any accommodations or services utilized in the workplace.
7. Additional information: The intake form may ask for any additional information that could assist in evaluating your needs or eligibility for disability services. This may include explaining any previous requests for accommodations, describing your goals, or mentioning any specific concerns or challenges you face.

Who needs disability services intake form:

1. Individuals with disabilities: The disability services intake form is typically required for individuals who have a documented disability and are seeking support or accommodations at a school, workplace, or organization.
2. Students: Students with disabilities may need to fill out the intake form to access academic accommodations, assistive technology, or other support services provided by their educational institution.
3. Employees: Employees with disabilities may be required to complete the intake form to request reasonable accommodations in the workplace, ensuring equal opportunities and a suitable working environment.
4. Service providers: Disability service providers may also require individuals seeking their services to fill out an intake form. This helps them understand the specific needs of the individual and tailor their support accordingly.

Remember, the specific requirements and processes for filling out a disability services intake form may vary based on the institution or organization providing the services. It's essential to carefully follow the instructions and reach out to the appropriate contact if you have any questions or need clarification.

For pdfFiller’s FAQs

What is disability services intake form?

Disability services intake form is a document used to collect information about individuals with disabilities who are seeking services or accommodations.

Who is required to file disability services intake form?

Individuals with disabilities who are seeking services or accommodations are required to file the disability services intake form.

How to fill out disability services intake form?

To fill out the disability services intake form, individuals need to provide accurate and detailed information about their disability and the services or accommodations they are requesting.

What is the purpose of disability services intake form?

The purpose of disability services intake form is to gather necessary information to assess the needs of individuals with disabilities and provide appropriate services or accommodations.

What information must be reported on disability services intake form?

Information such as type of disability, specific accommodations needed, medical history, and contact information must be reported on disability services intake form.

How can I get disability services intake form?

The premium subscription for pdfFiller provides you with access to an extensive library of fillable forms (over 25M fillable templates) that you can download, fill out, print, and sign. You won’t have any trouble finding state-specific disability services intake form and other forms in the library. Find the template you need and customize it using advanced editing functionalities.

How can I edit disability services intake form on a smartphone?

You can easily do so with pdfFiller's apps for iOS and Android devices, which can be found at the Apple Store and the Google Play Store, respectively. You can use them to fill out PDFs. We have a website where you can get the app, but you can also get it there. When you install the app, log in, and start editing disability services intake form, you can start right away.

How do I fill out disability services intake form using my mobile device?

The pdfFiller mobile app makes it simple to design and fill out legal paperwork. Complete and sign disability services intake form and other papers using the app. Visit pdfFiller's website to learn more about the PDF editor's features.