Documentation

Documentation is medical information provided by a treating professional indicating the student's diagnosis or disability. The documentation must be done by a treating professional and needs to have a diagnosis of disability and how it affects you daily. If you have documentation already, you can attach it to your application for accommodations in GB Access. Otherwise, you can upload it later.

Documentation Forms by Disability Type

Here are some documentation forms that you could have your treating professional fill out and fax over to us. Our fax number is 920-465-2191.

Disability Type	Appropriate Documentation to Submit
AD/HD	A recent Psychoeducational evaluation (within the last 3 years for high school and the last 5 years for adults) with test analysis and interpretation may be submitted in lieu of the AD/HD Disability Assessment form. AD/HD Disability Assessment Form (PDF)
Autism Spectrum Disorders	Current functional limitations on major life activities resulting from the disorder to include but not limited to: communication or language skills, social interaction, restricted, repetitive and/or stereotyped patterns of behavior and activities, sensory functioning and sensitivity to environmental conditions, and motor planning. And evidence to support the functional limitations. Autism Spectrum Disorders Form (PDF)
Deaf/Hard of Hearing	Deaf-Hard of Hearing Assessment Form plus an audiological evaluation and/or audiogram, no older than 3 years if loss is progressive Deaf-Hard of Hearing Assessment Form (PDF)
Learning Disability	Most recent Psychoeducational evaluation (within last 3-5 years preferred) and/or Learning Disability Assessment Form IEP/504 plan containing information about the disabling condition. Learning Disability Assessment Form (PDF)
Low Vision or Blindness	Low Vision/Blindness Assessment Form and vision exam/evaluation report from an appropriate eye care professional, such as an ophthalmologist, optometrist, or low vision specialist Low Vision/Blindness Assessment Form (PDF)
Mobility or Physical Disabilities	Identification of disabling condition; assessment of the functional limitation; degree of limitation: mild, moderate, severe; how the limiting manifestations may be appropriately accommodated. Mobility or Physical Disability Assessment Form (PDF)
Mental Health	Psychological Disability Assessment Form (PDF)
Systemic or Health-Related Disabilities	Identification of disabling condition; assessment of the functional limitation; degree of limitation: mild, moderate, severe; how the limiting manifestations may be appropriately accommodated. Systemic or Health-Related Assessment Form (PDF)
Traumatic Brain Injury	A recent neuropsychological assessment (within the last 3 years for high school students and the last 5 years for adults) with test analysis and interpretation may also be required. Acquired Brain Injury Assessment Form (PDF)

Have Questions?

Medical documents can be confusing and it's natural to have questions. Jaime Miller and the rest of the Student Accessibility Services (SAS) team can help. Just ask!