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ILLINOIS COMMUNITY COLLEGE OFFICE OF DISABILITIES SERVICES Verification Form for Mental Health Conditions Illinois Valley Community College (IPCC) is required by Section 504 of the Rehabilitation

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How to fill out disability services pre-intake form

01

Obtain the disability services pre-intake form from the appropriate department or organization.

02

Fill out all required personal information such as name, contact information, and any relevant medical history.

03

Provide details about your disability or condition, including any accommodations or services you may require.

04

Submit the completed form to the designated recipient either in person or by email as directed.

Who needs disability services pre-intake form?

01

Individuals with disabilities or medical conditions who require accommodations or services in order to access and participate in programs or activities.

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What is disability services pre-intake form?

Disability services pre-intake form is a form used to gather preliminary information about an individual's disability and their need for services.

Who is required to file disability services pre-intake form?

Individuals who require disability services are required to file the pre-intake form.

How to fill out disability services pre-intake form?

The form can be filled out online or in person by providing personal information, details about the disability, and the services needed.

What is the purpose of disability services pre-intake form?

The purpose of the form is to assess an individual's eligibility for disability services and to determine the appropriate support needed.

What information must be reported on disability services pre-intake form?

The form requires information such as personal details, medical history, type of disability, current support services, and contact information.

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