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CONFIDENTIAL PAGE 1 OF 4 Paul Mitchell The School Modesto 3100 McHenry Avenue, Modesto, CA 95350 (209) 5770644 Disability Verification Form LETTER TO TREATING PROFESSIONAL Date: Dear Health Professional:
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What is disability verification form?
Disability verification form is a document used to certify an individual's disability status.
Who is required to file disability verification form?
Individuals who are claiming disability benefits or accommodations may be required to file a disability verification form.
How to fill out disability verification form?
Fill out the form with accurate information regarding the individual's disability status, as well as any supporting documentation.
What is the purpose of disability verification form?
The purpose of the disability verification form is to verify an individual's disability status for benefits or accommodations.
What information must be reported on disability verification form?
Information such as the individual's medical history, diagnoses, and limitations must be reported on the disability verification form.
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