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University of Massachusetts Chan Medical School 55 Lake Avenue North Worcester, MA 016550002 USA 774.455.4804 (office) katrina.durham@umassmed.edu (email) Katrina Durham, MS Director of Accommodation
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How to fill out verification of psychological disability

01
Obtain the verification of psychological disability form from the relevant authority or healthcare provider.
02
Fill out your personal information accurately, including your name, date of birth, and contact information.
03
Provide details of your psychological disability, including the diagnosis, symptoms, and any treatment you are receiving.
04
Attach any supporting documentation, such as medical records or test results, to corroborate your condition.
05
Review the completed form for accuracy and completeness before submitting it for verification.

Who needs verification of psychological disability?

01
Individuals who have been diagnosed with a psychological disability and require accommodations or support services in academic or workplace settings.
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Verification of psychological disability is a process where a professional confirms an individual's psychological condition that affects their ability to perform certain tasks or activities.
Individuals with psychological disabilities who are seeking accommodations or support may be required to file verification of psychological disability.
Verification of psychological disability form typically requires input from a healthcare professional who can attest to the individual's psychological condition.
The purpose of verification of psychological disability is to provide documentation to support the need for accommodations or support for individuals with psychological disabilities.
Information such as the individual's diagnosis, functional limitations, and recommended accommodations may need to be reported on verification of psychological disability.
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