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P.O. Box Jamestown, NC 27282 Phone: (336) 334-4822 (336) 454-1126 TTY: (336) 841-2158 www.gtcc.edu Documentation of Visual Impairment Verification Form As the diagnosing professional, please fully

How to fill out documentation of visual impairment

1. Start by gathering all relevant information about the individual with visual impairment. This may include their personal details such as name, age, address, and contact information.
2. Include a thorough description of the visual impairment, including any specific diagnoses or conditions that contribute to the impairment.
3. List any visual aids or assistive devices that the individual uses to manage their visual impairment, such as glasses, magnifiers, or screen readers.
4. Provide details about any medical professionals or specialists who have assessed or treated the individual's visual impairment. This may include ophthalmologists, optometrists, or low vision specialists.
5. Include a summary of the impact the visual impairment has on the individual's daily life and activities, such as difficulty reading printed material, navigating their environment, or recognizing faces or objects.
6. Include any relevant medical records, diagnostic tests, or assessments that support the documentation of the visual impairment. This may include visual acuity tests, visual field tests, or reports from eye examinations.
7. If applicable, include information about any accommodations or modifications that may be necessary to ensure equal access for the individual, such as large print materials, braille resources, or accessible technology.
8. Clearly state the purpose of the documentation, whether it is for educational purposes, workplace accommodations, or accessing disability services.
9. Finally, ensure that the documentation is signed and dated by the appropriate medical professional or specialist who has assessed or treated the individual's visual impairment.

Who needs documentation of visual impairment?

1. Individuals with visual impairments may need documentation to access various services, accommodations, or support. This may include students who require special education services or accommodations in an educational setting, individuals seeking workplace accommodations, individuals applying for disability benefits or assistance programs, or individuals seeking medical or therapeutic treatments specific to their visual impairment.
2. Educational institutions may request documentation to determine appropriate accommodations, modifications, or specialized instruction for students with visual impairment. This can help ensure equal access to educational opportunities and support their success in the learning environment.
3. Employers may request documentation to assess and provide workplace accommodations for employees with visual impairment, such as adaptive technology, magnification devices, or modifications to the work environment. This can help create an inclusive and accessible workplace for individuals with visual impairments.
4. Disability service agencies or organizations may require documentation to provide appropriate support, resources, or assistance to individuals with visual impairments. This can help ensure that individuals receive the necessary accommodations and services to enhance their independence, mobility, and quality of life.

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What is documentation of visual impairment?

Documentation of visual impairment is a comprehensive report that outlines an individual's visual limitations and the impact on their daily life.

Who is required to file documentation of visual impairment?

Individuals with visual impairment who are seeking accommodations or services, such as students in educational settings or employees in the workplace, may be required to file documentation of visual impairment.

How to fill out documentation of visual impairment?

Documentation of visual impairment can typically be filled out by a medical professional, such as an ophthalmologist or optometrist, who has evaluated the individual's vision and can provide detailed information about their visual impairment.

What is the purpose of documentation of visual impairment?

The purpose of documentation of visual impairment is to provide evidence of a person's visual limitations and the need for accommodations or services to help them navigate daily tasks and activities.

What information must be reported on documentation of visual impairment?

Documentation of visual impairment should include information about the individual's diagnosis, level of visual acuity, any functional limitations, recommendations for accommodations, and any other relevant details.