Documentation Guidelines

What Documentation Do I Need to Provide?

Please utilize the respective form below to verify your disability. We require written verification from your treating clinician (i.e.: a medical doctor, psychologist, psychiatrist, licensed educational psychologist, etc.). Once your documentation is received, a Disabilities Specialist will review it and write you to indicate that all the documentation necessary has been received or that additional documentation will be required. If you have questions about whether your personal disability qualifies for services through our office or any questions on the forms please, please contact us at 805.893.2668.


Acquired Brain Injury (ABI)

+ Download ABI Documentation Form pdf_icon

+ Download Temporary Medical Documentation Form pdf_icon

DSP requests that students with acquired brain injuries (ABI) submit any previous documentation that they have which can include neuropsychological evaluations. Students may also have their clinicians fill out and sign DSP’s ABI Documentation form as well. If the impact from the brain injury is temporary, students may have their clinicians complete DSP’s Temporary Medical Documentation Form instead.

ADD/ADHD

+ Download Documentation Formpdf_icon

For students with ADD/ADHD, DSP requests that students submit any previous documentation that they have which can include psycho-educational evaluations. It is recommended that students have their clinicians complete DSP’s ADD/ADHD Documentation form as well. An assessment for ADD/ADHD must be current. In most cases, this means that a diagnostic evaluation must have been completed within the past three years. For more information about what is needed, please see UC Practices for the Documentation and Accommodation of Students with Attention-Deficit/Hyperactivity Disorder.

Practices for Assessment and Accommodation for Students with Attention Deficit Disorder. ADD Guidelines pdf_icon


Deaf and Hard of Hearing

Prior to registering for courses, each deaf student who is requesting communication services must submit complete and current disability documentation to determine eligibility for services. Documentation required includes the following:

  • Audiogram results aided and unaided within the past year prior to requesting services accompanied by a report written by an Ear, Nose and Throat (ENT) Physician, General Physician or Audiologist.

Vision

+ Download Documentation Form pdf_icon

  • Documentation from your treating physician will establish your eligibility for services. Your doctor can send a letter explaining your condition, or you can download the Physician Follow-Up form by clicking here. Your physician can fax the information to us.

Learning Disabled (Includes Non verbal LD, Language based LD, Dyslexia, Dysgraphia, Dyscalculia)

  • Aptitude
  • Achievement
  • Information Processing

Practices for Assessment and Accommodation for Students with Learning Disabilities pdf_iconLD Guidelines


Mobility

+ Download Documentation Formpdf_icon

Documentation from your treating physician will establish your eligibility for services. Your doctor can send a letter explaining your condition, or you can download the Physician Follow-Up form. Your physician can fax the information to us.


Other Functional (Includes: Arthritis, Asthma (respiratory conditions), Blood Diseases, Cancer, Diabetes complications, Heart Disease, HIV complications, Leukemia, Lupus, Sickle Cell Anemia)

+ Download Documentation Form pdf_icon

Documentation from your treating physician will establish your eligibility for services. Your doctor can send a letter explaining your condition, or you can download the Physician Follow-Up form by clicking here. Your physician can fax the information to us at 805.893.7127.


Psychological (Includes: Anxiety, Asperger’s Syndrome, Bipolar, Depression, Obsessive Compulsive Disorder, Post Traumatic Stress Disorder (PTSD), Schizophrenia)

+ Download Documentation Form pdf_icon

You will need to provide documentation to DSP. Professionals qualified to provide the documentation include, but are not limited to licensed psychologists, psychiatrists, and neurologists, or other professionals with training and expertise in the diagnosis of mental disorders. The documentation from your treating practitioner must be no more than 6 months old, meaning you must have been seen by him/her in the last 6 months. You may be asked to provide additional documentation.

Please ask your psychiatrist or psychologist to provide comprehensive information. The more information we have, the better we are able to determine appropriate accommodations and assistance. In most cases, after you submit your documentation, a disabilities specialist will contact you within one week

You have two options for providing us with the appropriate documentation:

Option 1:

Submit follow up questions (link) to your psychiatrist, psychologist or physician. Once completed, the form should be submitted to DSP.

Option 2:

Submit a complete evaluation from a psychiatrist, psychologist, or physician.

The evaluation should include a complete description of the following:

  • Does the student have a diagnosable mental disorder? If so, what is the specific Multi-Axis DSM IV classification? Please code in 5 axes.
  • What were the assessment or evaluation procedures used to make the diagnosis?
  • Is there historical data that is pertinent to the disability?
  • What are the major symptoms of the disorder currently manifested by the student, including level of severity?
  • If medications are currently prescribed, are there any substantial side effects for this individual?
  • What are the current functional limitations imposed by this disorder?
  • What is the current prognosis? When did you last see this individual?

Practices for Assessment and Accommodation for Students with Psychological Disabilities pdf_iconPsych Guidelines