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DISABILITY SERVICES INTAKE FORM Student Name: Address:Student Phone: ___Emergency Contact: ___Have you ever received disability accommodations in the past? ___ Yes ___No If Yes, please describe where
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How to fill out disability services intake form
How to fill out disability services intake form
01
Gather all necessary documents such as medical records, documentation of diagnosis, and any evaluations or assessments.
02
Complete the personal information section with accurate details such as name, contact information, date of birth, and social security number.
03
Provide information about your disability or condition, including symptoms, limitations, and the impact on daily activities.
04
List any accommodations or services you may need to support your disability, such as assistive technology or flexible scheduling.
05
Include any additional information or details that may be relevant to your situation.
06
Review the form for completeness and accuracy before submitting it to the disability services office.
Who needs disability services intake form?
01
Individuals with disabilities or medical conditions that impact their everyday lives and require accommodations or support services.
02
Students, employees, or community members seeking assistance in accessing resources or accommodations to help them succeed in their academic, work, or personal life.
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What is disability services intake form?
The disability services intake form is a document that individuals with disabilities are required to fill out in order to request accommodations or services.
Who is required to file disability services intake form?
Individuals with disabilities who need accommodations or services are required to file the disability services intake form.
How to fill out disability services intake form?
To fill out the disability services intake form, individuals need to provide information about their disability, the accommodations or services needed, and any relevant documentation.
What is the purpose of disability services intake form?
The purpose of the disability services intake form is to ensure that individuals with disabilities receive the necessary accommodations and services to participate in activities or programs.
What information must be reported on disability services intake form?
Information such as the individual's disability, requested accommodations or services, and any supporting documentation must be reported on the disability services intake form.
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