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Get the free Disability Assessment Form

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Complete this form to request an accessibility plan from Dalhousie University\'s Student Accessibility Centre. The form requires information about disability confirmation, barriers faced, and recommended accommodations. Submission instructions and contact details provided. Visit www.dal.ca/access for more info.
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01
Begin by carefully reading all instructions provided with the disability assessment form.
02
Fill in all required personal information such as name, contact details, date of birth, etc.
03
Provide detailed information about your medical history including any diagnosed conditions, treatments received, and current medications.
04
Describe how your medical condition affects your daily life and ability to work.
05
Make sure to gather any supporting documentation such as medical records, test results, and letters from healthcare providers.
06
Review the completed form for accuracy and completeness before submitting it.

Who needs disability assessment form?

01
Individuals who believe they have a disability or medical condition that impacts their ability to work or carry out daily activities.
02
Healthcare professionals who are assisting patients with applications for disability benefits.
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The disability assessment form is a document used to evaluate an individual's physical or mental impairment and determine the level of disability they may have.
Individuals who believe they have a disability and wish to seek accommodations or benefits based on that disability are required to file a disability assessment form.
To fill out a disability assessment form, individuals must provide information about their medical history, current symptoms, and limitations caused by their disability.
The purpose of the disability assessment form is to assess an individual's disability level in order to provide them with appropriate accommodations or benefits.
Information such as medical history, current symptoms, and limitations caused by the disability must be reported on the disability assessment form.
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