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121 East Annex Front, ME 044695725 Tel: 2075812319 (V) TTY: 2075812325 Fax: 2075819420 Email: DSS Maine.edu Intake Form *Please fill out this intake form and mail, fax, or bring it with you to your
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How to Fill Out Disability Services Intake Form PDF:

01
Start by carefully reading the instructions provided with the disability services intake form PDF. Make sure you understand each section and the information it requires.
02
Begin filling out the form by providing your personal details such as your full name, date of birth, contact information, and any other relevant identification information requested.
03
Proceed to the section that requires information about your disability. Be specific and detailed in describing your disability or medical condition. Include any relevant medical history, previous diagnoses, and current treatments or medications.
04
If applicable, provide information about any assistive devices or accommodations you currently use or require to manage your disability.
05
The next section may ask about your educational background and any previous accommodations or services you received in an academic setting. Provide accurate details regarding your education, including any specialized programs or services you have participated in.
06
If you require disability-related accommodations or services in your current or future academic pursuits, indicate the specific accommodations you are requesting. Be clear and concise in explaining why you need these accommodations and how they will help you succeed.
07
In the section regarding your rights and consent, carefully read and understand the statements presented. Sign and date the form to indicate your acknowledgment and agreement with the terms outlined.

Who Needs Disability Services Intake Form PDF:

01
Individuals with disabilities who require accommodations or services in an academic setting may need to fill out a disability services intake form PDF.
02
Students with disabilities who are starting their academic journey at a new institution or changing programs within the same institution often need to complete this form.
03
Individuals who have experienced a change in their disability-related needs or require updated accommodations may be required to fill out a disability services intake form PDF.
Note: It is important to refer to the specific policies and procedures of the academic institution or organization providing the disability services intake form PDF for accurate guidance.
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The disability-services-intake-form-pdf is a document used to collect information about individuals who require disability services.
Individuals who are seeking disability services are required to file the disability-services-intake-form-pdf.
The disability-services-intake-form-pdf can be filled out by providing personal information, details about the disability, and any additional information required by the service provider.
The purpose of the disability-services-intake-form-pdf is to gather necessary information about individuals with disabilities in order to provide appropriate services and accommodations.
Information such as personal details, type of disability, accommodations needed, and any other relevant information must be reported on the disability-services-intake-form-pdf.
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