![]() 1. Diagnosis: A clear statement of the physical disability or medical condition. a. Approximate onset of diagnosis b. Date of last clinical contact: The assessment must be current. Because conditions may change over time current evaluations are critical in providing reasonable accommodations. In general, this means that evaluations must have been completed within the three years prior to the accommodations request. In cases where a condition is permanent and unchanging (e.g. cerebral palsy, amputation, etc.) SSD may require a current statement of functional limitations from a qualified provider. 2. Evaluation b. Narrative of evaluation results including standardized scores, if applicable. c. Present symptoms that meet the criteria for the diagnosis. d. Current treatment e. Severity of symptoms f. Prognosis of disorder 3. Functional limitations: Should be determined WITHOUT consideration of mitigating measures (i.e. medication, etc.). If condition is episodic in nature, level of functioning should be assessed based on active phase of symptoms. a. Impact on major life activities b. Behavioral manifestations of the disability, in particular the way it impacts the student in the learning context for which the accommodations are being requested. c. Any additional limitation that fall in the substantial range. d. Special considerations (e.g. medication side effects, impact of treatment, etc.) 4. Accommodations b. (Optional) Recommended accommodations c. (Optional) Additional information that may be helpful in determining accommodations. Further assessment by an appropriate professional may be required if co-existing learning disabilities or other disabling conditions are indicated. All documentation must be submitted on the official letterhead of the professional describing the disability. The report should be dated and signed and include the name, title, and professional credentials of the evaluator, including information about license or certification. Services for Students with Disabilities will make the determination regarding whether accommodations are reasonable in the University environment. All documentation submitted to SSD is considered confidential. Documentation should be sent to the following address: The University of Texas at Austin Documentation may be faxed to (512) 475-7730. Verification Form for Students with Physical or Medical Disabilities (PDF). |