LSUE Physical and Systemic (Medical) Disability Documentation Request Form 2019-2025 free printable template

PO Box 1129 Eunice, LA 70535 Science Building Room 145 3375501204 Fax 3375501268 www.lsue.edu/studentaffairs ODs sue. Physical AND SYSTEMIC (MEDICAL) DISABILITY DOCUMENTATION REQUEST FORM (TO BE COMPLETED

How to fill out LSUE Physical and Systemic Medical Disability

How to fill out LSUE Physical and Systemic (Medical) Disability Documentation

1. Obtain the LSUE Physical and Systemic (Medical) Disability Documentation form from the LSUE website or student services.
2. Fill out the personal information section including your name, student ID, and contact details.
3. Describe your physical or systemic condition clearly and concisely in the designated section.
4. Provide detailed information about how your condition impacts your daily life and academic performance.
5. Ensure that a qualified healthcare provider completes the verification section, detailing their professional credentials and relationship to you.
6. Attach any relevant medical records or documentation that supports your claim.
7. Review the completed form for accuracy and completeness before submitting it.
8. Submit the form to the designated office at LSUE, either in person or electronically as per the guidelines.

Who needs LSUE Physical and Systemic (Medical) Disability Documentation?

1. Students at LSUE who have a physical or systemic medical condition that affects their ability to participate in academic activities.
2. Individuals seeking accommodations for their disabilities to ensure equal access to educational opportunities.
3. Students requiring support services or special arrangements due to their medical conditions.

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What is LSUE Physical and Systemic (Medical) Disability Documentation?

LSUE Physical and Systemic (Medical) Disability Documentation is a formal record that provides evidence of a student's medical disability, enabling access to necessary accommodations and support services at Louisiana State University Eunice.

Who is required to file LSUE Physical and Systemic (Medical) Disability Documentation?

Students who have a physical or systemic medical condition that substantially limits one or more major life activities and require accommodations are required to file LSUE Physical and Systemic (Medical) Disability Documentation.

How to fill out LSUE Physical and Systemic (Medical) Disability Documentation?

To fill out the LSUE Physical and Systemic (Medical) Disability Documentation, students should obtain the appropriate forms from the university's disability services office, complete the required sections detailing their disability, and have a qualified professional provide the necessary medical verification.

What is the purpose of LSUE Physical and Systemic (Medical) Disability Documentation?

The purpose of LSUE Physical and Systemic (Medical) Disability Documentation is to verify the existence of a medical disability in order to provide appropriate accommodations and ensure equal access to educational opportunities for students.

What information must be reported on LSUE Physical and Systemic (Medical) Disability Documentation?

The information that must be reported on LSUE Physical and Systemic (Medical) Disability Documentation includes the nature of the disability, limitations it imposes on the student, medical history related to the condition, and recommendations for accommodations.