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Disability Rights Network of Pennsylvania 1414 N. Cameron Street Second Floor Harrisburg, PA 171031049 (800) 6927443 (Voice) (877) 3757139 (TDD) www.drnpa.orgASSISTIVE TECHNOLOGY AND TITLE II AND
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01
To fill out an assistive technology and title form, follow these steps:
02
Start by providing your personal information such as your name, contact information, and any relevant identification numbers.
03
Next, specify the type of assistive technology you are using or seeking. This could include mobility aids, communication devices, or software applications.
04
Provide details about your disability or impairment that necessitates the use of assistive technology. Describe how it affects your daily life and any challenges you face without it.
05
If applicable, indicate any specific features or functionalities you require in the assistive technology. This could include adjustable settings, compatibility with other devices, or language options.
06
Include any additional information or documentation that supports your need for assistive technology. This could include medical records, assessments from healthcare professionals, or personal statements.
07
Finally, review the completed form for accuracy and sign it to acknowledge the provided information.
08
Please note that these instructions may vary depending on the specific assistive technology and title form you are filling out. It is important to carefully read and follow the instructions provided on the form itself.

Who needs assistive technology and title?

01
Assistive technology and title is needed by individuals with disabilities or impairments that impact their ability to perform daily tasks or access information.
02
This could include people with physical disabilities, visual or hearing impairments, cognitive challenges, or medical conditions that limit their mobility or communication abilities.
03
Assistive technology helps bridge the gap between an individual's abilities and the tasks they wish to accomplish. It enables greater independence, access to information, and improves overall quality of life.
04
It is important to note that each person's specific needs may vary, and the type of assistive technology required will depend on their unique circumstances and challenges.
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