Documentation Guidelines
All reports should be typed on letterhead, dated, and signed. Documentation should be no more than three years old. The following should be included in the report:
I. Student information including name, date of most recent evaluation
II. Evaluator name, title, and credentials
III. History to Support Diagnosis
a. Description of the duration and severity of the disorder
b. Last contact with individual, date of onset, and symptoms
IV. Evidence of current impairment
a. Description of how disability current impacts the student in social, academic, or occupational settings
b. Description of how the disability will limit the student in the classroom
V. Assessment Information
a. Results and interpretation of any clinical interviews conducted
b. Results and interpretation of any relevant assessments
c. Description of the impact on major life activities affected by this disorder such as, learning, seeing, hearing, sleeping, walking, reading, concentrating, thinking etc.
VI. Treatment and Medication
Description of any current medication, therapy, or other treatment being implemented
VII. Diagnosis
Clear statement of diagnosis including the DSM-IV-TR or ICD-10 diagnostic code
VIII. Recommended Accommodations
Include specific recommendations for academic accommodations and the rationale for the accommodations
Please return the report or address questions regarding documentation to:
Disability Support Services
HUC 516
1530 3rd Avenue South
Birmingham, AL 35294-1150
Phone (205) 934-4205
TDD (205) 934-4248
Fax (205) 934-8170