Skip to main content

Accessibility Services Forms

ADHD or Other Psychiatric Disorder Diagnosis Form

This is an optional form for doctors or psychologists to use if they do not have one of their own. These licensed professionals can use this form to give a diagnosis to their patients. If this form is not used, a letter written on professional letterhead from the doctor is acceptable. (We do not accept prescription pad notes.) This form gives specific instructions on the information needed to provide accommodations to the student seeking assistance from this office. Once filled out, the document can be emailed to the Accessibility Services Office.

Download the ADHD/Psychiatric Disorder Diagnosis Form

Consent Waiver Form

This is a form for students to sign if you want us to be able to share information with a parent, teacher, or other individuals. When this form is signed, the student gives permission for the Accessibility Services Office administrators and office assistant to discuss academic progress or other issues with the specified individual.

Download Consent Waiver Form

Release of Information to the Accessibility Services Office

This is a form for students to sign that you would use if you need a release for a doctor or college to release your information to our office. When signed, the student gives permission for the Accessibility Services Office to receive documentation from another entity.

Download Release of Information to the Disability Services Office Form

If you have questions about these forms please call us at (208) 496-9210.