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REQUEST FOR ASSISTIVE TECHNOLOGY SUPPORT APPALACHIA INTERMEDIATE UNIT 8 Referral Source: Title: Address: Phone: the Best time to call: STUDENT INFORMATION Name: Age: Date of Birth: Social Security
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How to fill out request for assistive technology

How to fill out a request for assistive technology:
01
Start by clearly stating your need for assistive technology. Describe the specific challenges or disabilities you have that necessitate the use of such technology.
02
Provide any relevant medical or diagnostic documentation that supports your request. This could include reports from healthcare professionals, therapists, or specialists.
03
Outline the specific type of assistive technology you are requesting. Specify the make, model, or features that are essential for meeting your individual needs.
04
Justify your request by explaining how the assistive technology will enhance your quality of life or improve your ability to perform everyday tasks independently and efficiently.
05
Include any additional information, such as your personal preferences or experiences with assistive technology, that could further support your request.
06
Ensure that all sections of the request form are completed accurately and clearly. Double-check for any errors or missing information before submitting the form.
07
Submit the request form through the appropriate channels. This could vary depending on the organization or institution you are submitting the request to.
Who needs a request for assistive technology?
01
Individuals with disabilities: A request for assistive technology is often needed by individuals with physical, cognitive, or sensory disabilities. This can include individuals with mobility impairments, visual or hearing impairments, learning disabilities, or conditions such as autism spectrum disorder.
02
Students: Students with disabilities may require assistive technology to support their learning and academic success. This could include tools such as screen readers, speech-to-text software, or ergonomic devices.
03
Employees: Individuals with disabilities in the workplace may need assistive technology to perform their duties effectively. This could include adaptive equipment, software, or modifications to the physical work environment.
04
Older adults: Aging individuals may benefit from assistive technology that enables them to maintain independence and age in place. This could include devices such as smart home systems, medication management tools, or mobility aids.
05
Individuals with temporary injuries or conditions: Even individuals with temporary injuries or conditions may require assistive technology to support their daily activities during their recovery period. This could include mobility aids, home modifications, or adaptive tools.
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What is request for assistive technology?
A request for assistive technology is a formal submission to obtain tools or devices that can aid individuals with disabilities in performing tasks or participating in activities.
Who is required to file request for assistive technology?
Any individual with a disability who requires assistive technology to improve their quality of life or access to opportunities.
How to fill out request for assistive technology?
To fill out a request for assistive technology, individuals need to provide detailed information about their disability, the specific technology needed, and how it will help them.
What is the purpose of request for assistive technology?
The purpose of a request for assistive technology is to ensure that individuals with disabilities have access to tools and devices that can enhance their independence and participation in various activities.
What information must be reported on request for assistive technology?
Information such as the type of disability, specific assistive technology needed, and how it will improve the individual's quality of life or participation in activities.
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