• 填写并提交 学生住宿申请表 and upload the required documentation to support your request.
• Documentation must be current and prepared by a medical professional or health care provider by a professional who is licensed or certified in the area for which the diagnosis is made..  Letter must be typed on office/practice letterhead, 过时的, and 医生签名.
• 如果适用的话, provide a copy of your complete Individualized Education Plan (IEP), 业绩总结(SOP), 或者504计划.  Although additional physician documentation may be requested, this may help to support your request.

For additional assistance contact the Office of Disability Services, OneStop Student Service Center.

学生住宿申请表

需要的文档

确定学生的住宿需求, the college requires official documentation from a qualified physician who can diagnose and treat your medical condition.

你可以:

• Submit a current physicians report (within 5 years) such as a neuro心理, 心理, or ADHD testing report specifying a diagnosis of ADHD, 由审查员签名并注明日期;

or

• Submit current official documentation from a qualified physician who is licensed to diagnose and treat your medical condition.  The physicians report should be typed on the physician’s letterhead, 过时的, 签署, 包括名字, title, 以及评估人员的专业证书 along with the following information:

1. Diagnostic code (DSM-IV, IV-R, V), 诊断日期, and 上次到访日期.
2. 病情严重程度:轻度, 温和的, or severe and provide examples as it relates to patients  medical condition.
3. 你是如何得出诊断结果的? Possible responses include: structured or unstructured interviews with the student or other persons, 行为观察, 发展/病史, 教育历史, 等级量表, 等.
4. 学生服用什么药物治疗ADHD? 服药后症状还会持续吗?
5. Describe in detail the present impact of ADHD in two or more major areas of the student’s life as accommodations will be determined based on this information.
6. List ADHD symptoms which were present before the 年龄 of 7.
7. Please list and explain other medical conditions or psychiatric diagnoses that may affect the 学术 performance of this student.

需要的文档

Submit current official documentation from a qualified physician who is licensed to diagnose and treat your medical condition.  The physicians report should be typed on the physician’s letterhead, 过时的, 签署, 包括名字, title, 以及评估人员的专业证书 along with the following information:

1. 当前的诊断代码(DSM-IV), IV-R, V), 诊断日期, 上次到访日期, and
   severity of the condition, 以及治疗历史和治疗计划.
2. The impact of the disorder on the individual should be discussed with particular detail
   关于学术要求. 文件只包括诊断，图表
   notes, 和/或处方便笺簿符号不足. 
3. If specific recommendations of accommodations are made, the rationale must relate the
   accommodation to the functional limitations imposed by the disability.
4. What medication(s) does the student take for emotional/精神 health support? Do
   即使服药，症状也会持续存在?
5. A current neuro心理 or 心理 evaluation report may allow the student
   更彻底地适应.

需要的文档

The following professionals are considered qualified to assess and diagnose autism spectrum disorder: psychologists, 精神科医生,发育儿科医生,神经学家, 或者一个跨学科的团队.

All reports should be typed on physicians letterhead, 过时的, 签署, 包括名字, title, 以及评估人员的专业证书.

• A psychoeducational report including social-behavioral testing should be current within five years. Documentation should substantiate the need for service based on the student’s current functioning in an educational setting. If the student has been evaluated by an autism center such as TEACCH, please include the evaluation in the submitted documentation.
• 明确的疾病诊断说明, 包括dsm - iv, IV-R, 或V型诊断, and a summary of present symptoms must accompany the documentation. 除了, 评估程序摘要, 使用的诊断测试, 并应包括评价结果.  A comprehensive report would include: ability testing, 成就测试, and specific cognitive processing evaluated for strengths and weaknesses, 包括视觉空间处理

The Slosson Intelligence Test and the Kaufman Brief Intelligence Test are primarily screening devices which 不 comprehensive enough to provide the information necessary to make accommodation decisions.  广域成就测验 不是 成就和的综合衡量标准, 因此, 难道没有用作为衡量成就的唯一标准吗.

The impact of the disability on the individual should be discussed with particular detail regarding 学术 and social requirements. If specific recommendations of accommodations are made, the rationale must relate the accommodation to the functional limitations imposed by the disability.

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• An audiogram indicating the severity of the hearing impairment must be provided by a licensed audiologist.
• If specific recommendations of accommodations are made, the rationale must relate each accommodation to the functional limitations imposed by the disability.
• If other disabilities are present, please provide additional reports.

需要的文档

The following appropriately licensed/certified clinical professionals are considered qualified to assess and diagnose learning disabilities: psychologists, 学校心理学家, 和神经心理学家.  The professional must have expertise in evaluating the impact of the learning disability on the student’s educational performance. All reports should be on typed on physicians letterhead, 过时的, 签署, 包括名字, title, 以及评估人员的专业证书.

• A psychoeducational report should be current within five years. Documentation should substantiate the need for service based on the student’s current functioning in an educational setting.
• A psychoeducational evaluation should include a clinical interview. 学生的发展, 学术, 精神, and social history should be investigated and reported. This evaluation must include a comprehensive assessment battery including aptitude, 成就, 加工仪器.

The following aptitude tests are considered appropriate in the substantiation of a learning disability:

• Wechsler Adult Intelligence Scale-IV (WAIS-IV); Wechsler Intelligence Scale for Children-IV (WISC-IV)
• Woodcock-Johnson Test Psychoeducational Battery-III: Test of Cognitive Ability
• Kaufman Adolescent and Adult Intelligence Test (KAIT)

The Slosson Intelligence Test and the Kaufman Brief Intelligence Test are primarily screening devices which 不 comprehensive enough to provide the information necessary to make accommodation decisions.

The following 成就 tests are considered appropriate in the substantiation of a learning disability:

• Woodcock-Johnson Psychoeducational Battery-III: Tests of Achievement
• Wechsler Individual Achievement Test-II (WIAT-III)
•成人学业能力测试(SATA)

广域成就测验 不是 成就和的综合衡量标准, 因此, 难道没有用作为衡量成就的唯一标准吗.

The impact of the disability should be discussed with particular detail 关于学术要求. If specific recommendations of accommodations are made, the rationale must relate the accommodation to the functional limitations imposed by the disability.

需要的文档

Documentation should be prepared by a licensed/clinical physician qualified to diagnose the disability. All documentation must be typed on physicians letterhead, 过时的, 医生签名, 并提供医生证书.  报告还应包括:

• 带有诊断日期的当前诊断, 上次到访日期, 病情的严重程度也应该包括在内, 以及治疗历史和治疗计划.
• The impact of the condition on the individual should be discussed with particular detail 关于学术要求. 文件只包括诊断，图表 notes, 和/或处方便笺簿符号不足. 不提交手写文件.
• If specific recommendations of accommodations are made, the rationale must relate the accommodation to the functional limitations imposed by the disability.
• What medication(s) does the student take for emotional/精神 health support? 服药后症状还会持续吗?  In cases of head trauma or medical conditions which affect the brain, a current neuro心理 or 心理 evaluation report may allow the student 更彻底地适应.

需要的文档

Documentation should be prepared by a licensed/clinical: psychologist,精神病学家, orother professional qualified to diagnosis emotional/精神 health disabilities.  The physicians report should be typed on the physician’s letterhead, 过时的, 签署, 包括名字, title, 以及评估人员的专业证书 along with the following information:

• 当前的诊断代码(DSM-IV), IV-R, V), 诊断日期, 上次到访日期, 病情的严重程度也应该包括在内, 以及治疗历史和治疗计划.
• The impact of the disorder on the individual should be discussed with particular detail 关于学术要求. 文件只包括诊断，图表 notes, 和/或处方便笺簿符号不足.
• If specific recommendations of accommodations are made, the rationale must relate the accommodation to the functional limitations imposed by the disability.
• What medication(s) does the student take for emotional/精神 health support? 服药后症状还会持续吗?
• A current neuro心理 or 心理 evaluation report may allow the student 更彻底地适应.

需要的文档

文件必须由下列人士提供:

• 眼科医生;
• optometrist; or
• 其他持牌眼科护理专业人员.

All documentation must be submitted on the official letterhead of the professional describing the disability. 报告应该注明日期, 签名并注明姓名, title, 以及评估人员的专业证书.

• Documentation should include a diagnosis and specify best corrected visual acuity and degrees of visual field in each eye. 包括诊断日期, 上次到访日期, 以及病情的严重程度, 以及治疗历史和治疗计划.
• Describe the impact the impairment has on the individual’s visual ability and the functional limitations it may impose. The impact should be discussed with particular detail 关于学术要求. 文件只包括诊断，图表 notes, 和/或处方便笺簿符号不足. 不提交手写文件.
• If specific recommendations of accommodations are made, the rationale must relate the accommodation to the functional limitations imposed by the disability.