Guidelines for Documentation of a Physical Disability or Systemic Disorder

At Sarah Lawrence College, students who request accommodations for a disability are required to submit documentation to verify eligibility under Section 504 of the Vocational Rehabilitation Act of 1973 and the Americans with Disabilities Act of 1990 (ADA). These guidelines are provided in the interest of assuring that evaluation reports are appropriate for documenting eligibility for students who seek accommodations and services for a physical disability or systemic illness.

This document provides guidelines necessary to establish the impact of physical disabilities on an individual's college experience, both academic and social, and to validate the need for accommodations. In instances where there may be multiple diagnoses, including psychiatric disabilities, learning disabilities, and/or ADHD in addition to physical disabilities, evaluators should consult the appropriate guidelines regarding these conditions.

1. Physical Disabilities.

Physical disabilities include but are not limited to impairments, chronic illnesses, traumatic brain injury, arthritis, and visual, hearing, mobility, and manual limitations. The ADA defines a disability as a physical or mental impairment that substantially limits one or more of the major life activities of an individual. Examples of major life activities include walking, sitting, standing, seeing, hearing, speaking, breathing, learning, working, caring for oneself, and performing manual tasks. A diagnosis of a disorder/condition/syndrome or impairment in and of itself does not automatically qualify an individual for accommodations under the ADA. The documentation must also support each request for accommodation, academic adjustment or modification, or auxiliary aid.

2. A qualified professional must provide the documentation.

Professionals conducting assessments, rendering physical diagnoses, offering opinions about physical disabilities and making recommendations for accommodations must be qualified to do so. It is essential that professional qualifications include both (1) comprehensive training and relevant expertise in the specialty and (2) appropriate licensure/certification. Appropriate evaluators may include physicians, surgeons, dentists, optometrists, audiologists, physical therapists, occupational therapists, neuropsychologists and other relevantly trained healthcare professionals qualified to make such diagnoses. Documentation may be provided from more than one source when a clinical team approach employing a variety of professionals has been used. The individual’s name, title, and professional credentials must be clearly stated in the documentation. All reports should be on letterhead, typed in English, dated, signed, and otherwise legible. Documentation from family members will not be accepted.

3. Recommended documentation includes the following:

  • A clear statement of the medical diagnosis of the physical disability or systemic illness;
  • A reflection of the current impact the physical disability or systemic illness has on the student’s functioning (the age of acceptable documentation is dependent upon the disabling condition, the student’s request for accommodations, and the current status of the student);
  • A summary of assessment procedures and evaluation instruments used to make the diagnosis, including evaluation results and standardized scores if applicable;
  • A description of present symptoms that meet criteria for diagnosis;
  • Medical information relating to the student’s needs, including the impact of medication on the student’s ability to meet the educational demands of the postsecondary environment;
  • A statement describing the functional impact of the limitation of the disability on learning or other major life activity and the degree to which it impacts the individual in the learning context for which accommodations are being requested;
  • Length of time the diagnostician has treated the student and date of last contact;

4. Recommendation(s) for accommodations and services.

It is important to recognize that accommodation needs can change over time and a prior history of accommodation, without demonstration of a current need, does not, in and of itself, warrant the provision of a similar accommodation. The documentation should include specific recommendations for accommodations that are appropriate at the postsecondary educational setting, as well as an explanation of why each accommodation is recommended. There should be a connection between the impact of the physical disability or systemic illness and the requested accommodation(s).

5. Confidentiality

The documentation is confidential and will be used only for the purpose of enabling the College to provide the student with appropriate supportive academic accommodations and services. No part of the documentation will be released without the student’s written consent.

6. Documentation should be sent to: 

The Office of Access and Disability Services
disabilityservices@sarahlawrence.edu

Guidelines adapted from Educational Testing Services (2011). Policy Statement for Documentation of Physical Disabilities and Chronic Health-related Conditions in Adolescents and Adults, Second Edition