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ADHD Certification FormVillanova UniversityLearning Support Services800 Lancaster AvenueVillanova, Pennsylvania 19085 1673(610) 519 5636 Faxes: (610) 519 8015EMAIL: learning.support.services@villanova.eduCERTIFICATION
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How to fill out certification of attention-deficit disorder

01
To fill out a certification of attention-deficit disorder, follow these steps:
02
Begin by entering the date at the top of the form.
03
Fill in your personal information, including your full name, contact information, and date of birth.
04
Provide details about your diagnosis of attention-deficit disorder, including the date of diagnosis, the name of the diagnosing healthcare professional, and any relevant medical information.
05
Specify the duration and severity of your condition, including any limitations or impairments it causes.
06
Include information about any treatments or medications you are currently undergoing or have undergone in the past for attention-deficit disorder.
07
If necessary, include any additional supporting documentation from healthcare professionals or other relevant parties.
08
Sign and date the certification.

Who needs certification of attention-deficit disorder?

01
The certification of attention-deficit disorder may be needed by individuals who require documentation of their condition for various reasons, including:
02
- Students seeking accommodations or special services in educational institutions
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- Employees requesting workplace adjustments or accommodations
04
- Individuals applying for disability benefits or assistance programs
05
- Individuals involved in legal matters where their attention-deficit disorder is relevant
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- Individuals participating in clinical trials or research studies related to attention-deficit disorder

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Certification of attention-deficit disorder is an official document that verifies a person's diagnosis of ADHD (Attention-Deficit/Hyperactivity Disorder) and may be required for educational accommodations or specific legal benefits.
Individuals diagnosed with ADHD and seeking accommodations, benefits, or specific services may be required to file this certification.
To fill out the certification, a qualified healthcare provider must complete a standardized form that includes the individual's diagnosis, treatment plan, and any recommendations for accommodations.
The purpose is to formally document the diagnosis of ADHD to ensure that individuals receive appropriate accommodations, support, and access to resources they may need.
The certification must include the individual's name, date of birth, diagnosis, details of assessment, treatment, and any recommendations for accommodations.
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