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Documentation Guidelines

Documentation from external sources may include educational or medical records, as well as reports and assessments created by health care providers, school psychologists, teachers, or the educational system.

Documentation of Sensory, Speech & Language, Physical, and Medical Disability

In general, medical documentation should be recent and include the following:

  • A diagnostic statement identifying the disability, the date of the most current diagnostic evaluation, and the date of the original diagnosis.
  • A description of the diagnostic tests, methods, and/or criteria used.
  • A description of the current functional impact of the disability which includes specific test results and the examiner’s narrative interpretation.
  • Treatments, medications, or assistive devices/services currently prescribed or in use.
  • A description of the expected progression or stability of the impact of the disability over time, particularly the next five years.
  • A completed Healthcare Provider Form
  • The credentials of the diagnosing professional if not clear from the letterhead or other forms.
  • The diagnosing professional may not be a family member.
Documentation of Cognitive Impairment

Documentation of cognitive impairment such as specific learning disability, attention deficit disorder, or psychological disorders affecting learning is usually accomplished through a comprehensive psycho-educational or neuropsychological assessment meeting specified criteria. Documentation necessary to substantiate a cognitive impairment must validate the need for services based on the student's current level of functioning in an educational setting. Traditionally, a school plan such as an Individualized Education Program (IEP) or a 504 Plan is insufficient documentation, but may be included is considered as part of a more comprehensive assessment battery (usually psycho-educational or neuropsychological in nature) that has been administered by an appropriate professional.

Students who wish to submit documentation of attention deficit/hyperactivity disorders should also be familiar with the College's ADD/ADHD policy and protocol.