A history of the psychiatric/psychological condition.
A specific, current diagnostic statement as per the DSM-IV which indicates
the nature, frequency, and severity of the symptoms upon which the diagnosis
was predicated. A diagnosis without an explicit listing of current symptoms
is not sufficient. Primary and secondary Axis I and Axis II diagnoses
are required.
Provide the results of tests, interviews, and/or other evaluations used
to form the diagnosis.
Provide
the current status and treatment protocol. Please detail prescribed
medications and/or treatment schedules that may influence the types
of academic accommodations provided.
A
clinical summary that: (1) indicates the substantial limitations to
learning posed by the psychiatric/psychological condition; (2) specific
recommendations for accommodations that are related to and supported
by assessment results; and (3) states how the effects of the psychiatric/psychological
condition are mediated by the recommended accommodations.
The information
must be provided on the licensed psychologist, psychiatrist, or licensed
clinical social worker’s letterhead, and must include a license
number and signature.
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07/09/2004
