(Includes but is not limited to: Mobility Impairments, Multiple Sclerosis, Cerebral Palsy, Chemical Sensitivities, Spinal Cord injuries, Cancer, AIDS, Muscular Dystrophy, Spina Bifida)
The following guidelines are provided to assist the diagnostician in providing the required information. Documentation must be submitted by a physician, neurologist, psychiatrist, or other medical specialist. Documentation should include the names, titles, professional credentials, license number, addresses and phone numbers of the evaluators, as well as the date of the report.
1. A clear statement of the medical diagnosis of the physical disability or systemic illness.
2. A summary of assessment procedures and evaluation instruments used to make the diagnosis, including evaluation results and standardized scores if applicable;
3. A description of present symptoms which meet the criteria for diagnosis, including functional limitations resulting from the disability;
4. Medical information relating to the student's needs should include the impact of medication on the student's ability to meet the demands of the postsecondary environment;
5. Suggestions of reasonable accommodations which might be appropriate at the postsecondary level are encouraged. These recommendations should be supported by the diagnosis.
All documentation is confidential and should be submitted to:
5200 N. Lake Rd., ACS 140
Merced, CA 95343
Phone: 209-228-6996
Fax 209-228-4661
