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文档 & 形式

如果您正在接受疑似残疾的评估或对先前存在的残疾进行重新评估, 请将一份适当的指导方针连同残疾入学表一起提交给您的评估人员.*

All disability documentation must meet the criteria described in the guidelines, and new reports should use the appropriate forms if possible. 请注意,学习障碍和注意力缺陷障碍的表格只是一张封面. 这些诊断医生通常使用他们自己喜欢的格式来编写完整的报告. 如果你有问题, 请随时联系残疾人支持服务办公室,电话:(315)464-8855.

*请注意,每个声明的禁用条件都需要适当的文件.

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学习障碍住宿

注意: 在我们考虑住宿请求之前,必须填写并提交与学习障碍相关的特定表格
  • 学习障碍文档
    如果访问这些文件有困难, please contact Disability 支持服务 at: 315 464-8855

A Qualified Professional Must Conduct the Evaluation

  • 名字, title, 专业认证, 许可/认证信息, and location of practice must be included on any reports submitted.
  • 评估人员必须在, 和经验, evaluating learning disabilities in adolescents and/or adults.
  • Appropriate professionals may include 神经心理学家, 临床心理学家, 教育心理学家, 学校心理学家, 和精神病学家. Learning disability specialists (and others) may be part of a diagnostic team, 虽然他们通常不被认为是高等教育学生的主要评估者.
  • Evaluations performed by members of the students family are not acceptable.
  • 所有报告必须由主要评估者签署,并应包括一个完整的上州医科大学表格(封面页),如果可能的话. 注意: Evaluator must also number and initial each page of the evaluation.

文件必须是最新的

  • 报告应该, 在一般情况下, be based on evaluations performed within three years and reflecting adult norms.
  • 报告应该 describe the 当前的 诊断条件的影响.
  • 报告应该 make recommendations appropriate to a postsecondary setting, 最好是医学院的环境.

文档必须全面

  • 报告应包括病史(医疗), 发展, 学术, 家族性), 并指出早期损伤的证据, 即使在儿童时期没有被正式诊断 or early adolescence.
  • 报告应该 indicate evidence of 当前的 impairment, 包括诊断访谈的结果和一系列旨在确定学习障碍的心理教育测试的结果.
  • 最低限度, testing must include a) assessment of cognitive ability/intellectual functioning, B)衡量学术成就, c) instruments that measure various domains of information processing, D)其他帮助确定或排除学习障碍诊断的工具.
  • 如有必要,必须包括具体的诊断. If the evaluation does not clearly indicate the existence of a learning disability, 考官必须陈述事实.
  • 所有的考试成绩都应该包括在内,并附上对每项考试的解释和摘要.
  • 文档 should rule out alternative explanations for learning problems (i.e. 有动机的困难, 情感, 区域的, or related to limited fluency in the English language.)
  • 文件应说明任何共存的疾病或疑似共存的疾病.
  • 文件必须表明评估者是否认为诊断的病情上升到第504节和《推荐最近最火的赌博软件》(i)所定义的残疾水平.e. 极大地限制了一个主要的生命活动). 然后应该解释这个专业意见.
  • Relevant 学术 history including results of prior standardized testing, reports of classroom performance and behaviors including transcripts, study habits and attitudes and notable trends in 学术 performance.
  • A clear indication of the student's functional limitations must be included.
  • 文件应包括与指定功能限制直接相关的住宿建议.
  • 如果事先没有提供住宿, 合格的专业专家应该详细解释为什么过去没有提供住宿,为什么现在需要住宿.
  • 应给出理由,解释为什么每项住宿建议都是适当的.

Adapted from: Learning and 残疾人服务, Dartmouth Medical School

精神残疾

注意: 在我们考虑住宿请求之前,必须填写并提交一份与精神残疾相关的特定表格.
  • 精神残疾文件
    如果访问这些文件有困难, please contact Disability 支持服务 at: 315 464-8855

A Qualified Professional Must Conduct the Evaluation

  • 名字, title, 专业认证, 许可/认证信息, and location of practice must be included on any reports submitted.
  • 评估人员必须在, 和经验, the differential diagnosis of psychiatric disorders in adolescents and/or adults.
  • Appropriate professionals may include 临床心理学家, 神经心理学家, psychiatrists or other specifically trained medical doctors, 临床社会工作者, 持牌心理健康咨询师, 精神科护士从业人员.
  • Evaluations performed by members of the students family are not acceptable.
  • 所有报告必须由评估员签名, and should include a completed 上州医科大学 form (if feasible), as well as any additional information typed on letterhead. 注意: Evaluator must also number and initial each page of the evaluation.

文件必须是最新的

  • 一般来说,初步文件应以六个月内进行的评价为基础.
  • 如果报告时间超过6个月, and the student has remained in clinical contact with his or her evaluator, 该专业人员可以在原始报告的基础上补充一封信(带抬头),描述自上一份报告以来的所有变化. [The supplement would be in lieu of another complete report.]
  • 跟进的时机, supplemental documentation is typically based on the professional's recommendation, 通常每3次需要一次, 6, 或者12个月.
  • 所有文件(包括任何补充文件), should describe the 当前的 诊断条件的影响(s).
  • All documentation should describe any 目前 mitigating factors, 比如药物或其他治疗.
  • 所有文件都应提出当前适合医学院环境的建议.

文档必须全面

  • 报告应该 include a brief history of the students psychiatric problems, and must include any prior behavior that was violent or destructive.
  • A specific diagnosis, or more than one, must be included.
  • 报告必须表明,DSM-IV或DSM-V标准已满足每个条件.
  • Other potential diagnoses must be ruled out in the report.
  • 文件必须表明评估者是否认为诊断出的病情上升到504条和《推荐最近最火的赌博软件》定义的残疾水平(实质上限制了主要的生活活动)。.
  • There must be a clear indication of the individual students functional limitations, in a medical school environment and across other domains.
  • 文档应包括与功能限制直接相关的调整建议.
  • 如果事先没有提供住宿, 合格的专业专家应该详细解释为什么过去没有提供住宿,为什么现在需要住宿.
  • 应给出理由,解释为什么每项住宿建议都是适当的.
  • A statement regarding potential for harm to self or others must be included.
  • 临床总结是有帮助的.

Adapted from: Learning and 残疾人服务, Dartmouth Medical School

注意缺陷/多动障碍

注意: There is a specific form related to Attention Deficit/
多动障碍(ADHD),必须填写并提交给我们的办公室,我们才能考虑住宿请求.

A Qualified Professional Must Conduct the Evaluation

  • 名字, title, 专业认证, 许可/认证信息, and location of practice must be included on any reports submitted.
  • 评估人员必须在, 和经验, the differential diagnosis of ADHD in adolescents and/or adults.
  • Appropriate professionals may include 临床心理学家, 神经心理学家, 学校心理学家, psychiatrists or other specifically trained medical doctors.
  • Evaluations performed by members of the students family are not acceptable.
  • 所有报告必须由评估员签名, and should include a completed 上州医科大学 form (if feasible), as well as any additional information typed on letterhead.

文件必须是最新的

  • 报告一般应根据所作的评价或在三年内增订.
  • 报告应该 describe the 当前的 诊断条件的影响.
  • 报告应提及任何 目前 mitigating factors, such as medication.
  • 报告应该 make recommendations appropriate to a postsecondary setting, 最好是医学院的环境.

文档必须全面

  • 报告应包括病史(医疗), 社会心理, 学术, 家族性), and indicate compelling evidence of early impairment, 即使在儿童时期没有被正式诊断.
  • 报告应该 indicate evidence of 当前的 impairment, 包括临床诊断访谈的结果和为调查注意力缺陷障碍的存在而进行的任何心理教育测试的审查.
  • A specific diagnosis must be included or specifically ruled out.
  • The information collected by the evaluator must consist of more than self-report.
  • Reports including a diagnosis must demonstrate that DSM-IV criteria have been met.
  • 任何考试成绩都必须包括在内,并附上对每项考试的解释和摘要.
  • 文件应排除对问题的其他诊断和/或解释.
  • 文档 should address any coexisting disorders, 疑似共存障碍, 或者其他混杂因素.
  • 文件必须表明诊断的病情是否上升到第504条和《推荐最近最火的赌博软件》定义的残疾水平(实质上限制了主要的生活活动).
  • There must be a clear indication of the individual students functional limitations.
  • 文件应包括与功能限制直接相关的住宿建议,并尽可能与医学院环境相关.
  • 如果事先没有提供住宿, 合格的专业专家应该详细解释为什么过去没有提供住宿,为什么现在需要住宿.
  • 应给出理由,解释为什么每项住宿建议都是适当的.

Adapted from Learning and 残疾人服务, Dartmouth Medical School

身体/感官残疾

注意: 在我们考虑住宿请求之前,必须填写并提交一份与身体/感官残疾相关的特定表格.
  • 身体/感官残疾
    如果访问这些文件有困难, please contact Disability 支持服务 at: 315 464-8855

A Qualified Professional Must Conduct the Evaluation

  • 名字, title, 专业认证, 许可/认证信息, and location of practice must be included on any reports submitted.
  • 评估人员必须在, 和经验, the diagnosis of like or similar conditions in adults.
  • 合适的专业人员通常是有执照的医生,通常接受过专业培训. Optometrists are appropriate for visual conditions addressed in their training. 联合医疗专业人员(如听力学家), 神经心理学家, or physical therapists) may be considered appropriate as well, 通常作为团队的一部分.
  • Evaluations performed by members of the students family are not acceptable.
  • All reports must be signed by the primary evaluator, and should include a completed 上州医科大学 form (if feasible), as well as any additional information typed on letterhead. 注意: Evaluator must also number and initial each page of the evaluation.

文件必须是最新的

  • 报告应该 be based on evaluations performed within a reasonable time frame, depending on the degree of change associated with the diagnosed condition(s). Generally a reasonable time frame is not more than three years, 但在许多情况下,它可能要短得多.
  • 报告应该准确地描述 当前的 诊断条件的影响.
  • 报告应指明 目前 病情的预期过程.
  • 报告应提及任何 目前 缓解因素(e).g. 药物或助听器).

文档必须全面

  • 报告应该包括历史记录.
  • 报告应该 include both description and evidence of impairment.
  • 报告应该 briefly describe any 当前的 treatment plan.
  • A specific diagnosis (or more than one) must be included.
  • 文档 should address any coexisting conditions, 怀疑共存条件, 或者其他混杂因素.
  • 文件必须表明诊断的病情是否上升到《推荐最近最火的赌博软件》和《推荐最近最火的赌博软件》第504条所定义的残疾水平(实质上限制了一项主要的生活活动).
  • There must be a clear indication of the individual students functional limitations.
  • 文件应包括与功能限制直接相关的住宿建议(如果可能的话,还应与医学院环境相关).)
  • 如果事先没有提供住宿, 合格的专业专家应该详细解释为什么过去没有提供住宿,为什么现在需要住宿.
  • 应提供理由,解释为什么每项住宿建议都是适当的.
  • If the student is considered a potential danger to self or others, 包括他或她照顾的病人, 这些信息必须包括在内. If there are only certain circumstances under which a potential danger exists, 这也应该解释一下.

Adapted from: Learning and 残疾人服务, Dartmouth Medical School