
University of California Berkeley Certification of Attention-Deficit Disorder/Hyperactivity Disorder 2013-2025 free printable template
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Certification Of AttentionDeficit Disorder / Hyperactivity Disorder
Disabled Students\' ProgramUniversity of California, Berkeley
260 CSAR E. Chavez Student Center
Berkeley, CA 947204250
Phone: (510)
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How to fill out University of California Berkeley Certification of Attention-Deficit DisorderHyperactivity

How to fill out University of California Berkeley Certification of Attention-Deficit Disorder/Hyperactivity Disorder
01
Obtain the University of California Berkeley Certification form from the university's website or office.
02
Fill in your personal information, including your name, date of birth, and student ID number.
03
Provide details about your ADHD diagnosis, including the names and credentials of your diagnosing healthcare providers.
04
Include any relevant documentation that supports your diagnosis, such as evaluation reports or treatment history.
05
Indicate any accommodations you are requesting due to your condition.
06
Review the completed form for accuracy and completeness.
07
Submit the certification form to the appropriate office at UC Berkeley, as specified in the instructions.
Who needs University of California Berkeley Certification of Attention-Deficit Disorder/Hyperactivity Disorder?
01
Students at the University of California Berkeley who have a documented diagnosis of Attention-Deficit Disorder (ADD) or Attention-Deficit/Hyperactivity Disorder (ADHD).
02
Individuals seeking academic accommodations in order to manage their condition effectively while pursuing their studies.
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What is University of California Berkeley Certification of Attention-Deficit Disorder/Hyperactivity Disorder?
The University of California Berkeley Certification of Attention-Deficit Disorder/Hyperactivity Disorder is a formal document that verifies a student's diagnosis of Attention-Deficit Disorder (ADD) or Attention-Deficit/Hyperactivity Disorder (ADHD) for the purpose of obtaining necessary academic accommodations.
Who is required to file University of California Berkeley Certification of Attention-Deficit Disorder/Hyperactivity Disorder?
Students who have been diagnosed with Attention-Deficit Disorder or Attention-Deficit/Hyperactivity Disorder and seek academic accommodations at the University of California Berkeley are required to file this certification.
How to fill out University of California Berkeley Certification of Attention-Deficit Disorder/Hyperactivity Disorder?
To fill out the certification, students must complete the form by providing personal information, a detailed description of their diagnosis, and any diagnostic documentation from a qualified professional, ensuring all sections are filled out accurately.
What is the purpose of University of California Berkeley Certification of Attention-Deficit Disorder/Hyperactivity Disorder?
The purpose of the certification is to establish the legitimacy of a student's condition in order to receive appropriate accommodations that will support their academic success and level the playing field in their educational environment.
What information must be reported on University of California Berkeley Certification of Attention-Deficit Disorder/Hyperactivity Disorder?
The information that must be reported includes the student's personal identification details, a detailed account of the ADD or ADHD diagnosis, relevant medical history, and recommendations for accommodations from a licensed professional.
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