FORMS

Name Description

ADD/ADHD Documentation Form

Completed by a qualified professional to document ADD/ADHD

Alternate Media Contract

Contract that describes alternate media services and corresponding obligations of the student
Completed and submitted online by student when requesting alternate media, submitted along with textbooks and proof-of-purchase
Completed and submitted online by student to the DSS office
Completed and submitted online by faculty to the DSS office with each student exam

Concussion Management Accommodation Request Form

Completed and submitted by a student who is seeking temporary DSS services related to sustaining concussion.

Consent Release

Authorizes the exchange of information between student and another institution/entity

Disability Verification

Completed by a qualified professional to document non-LD/ADD disabilities (i.e. medical conditions)

Dietary Accommodation Request

Completed by student and qualified professional to document food allergies and special dietary requirements

ELM/EPT Request

Completed by student to request reasonable accommodations for the English (EPT) and/or Math (ELM) placement exams
Completed and submitted online by student to request for disability-related adaptive furniture in classrooms (Also available in PDF)

Interpreting and Captioning Guidelines

Guidelines for students who are deaf or hard of hearing to request for interpreting and/or real-time captioning services

Learning Disabilities Documentation Guidelines

Guidelines for how a qualified professional can document a learning disability

Note Taker Job Expectations

Information on notetaking services and guidelines for DSS student and note taker

Psy & Neuro Disabilities Documentation Form

Completed by a qualified professional to document a psychological/neurological disability
Completed by students, faculty, staff, parents, or visitors to report concerns and/or provide suggestions pertaining to procedures, services, course accommodations, or testing accommodations.

Special Consideration for Housing Assignment

Completed/submitted by DSS student and qualified professional to request special consideration for housing assignment

Student Intake Form

Completed/submitted by all students requesting DSS services

Temporary Disability Accommodation Request

Completed and submitted by a student who is seeking temporary DSS services

Temporary Disability Parking Application

Application to receive 30-day temporary disability parking permit

Temporary Disability Parking Guidelines

Guidelines about requesting 30-day temporary disability parking permit

Test Room Guidelines

Student agreement form for DSS-proctored tests, quizes, etc.