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00 ADHD Predominately Inattentive 3. Severity Mild Moderate Severe 4. How did you arrive at your diagnosis Please check all that apply. Submit Information to Disability Services Texas A M University 701 West Campus Boulevard 1224 TAMU College Station TX 77843-1224 FAX 979 458-1214 Date Patient Name Birthdate Last First M. C Be supplemented with any evaluative reports that may provide a more complete understanding of the student. Evaluative reports may include comprehensive diagnostic reports...
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