

The general guidelines
listed below are developed to assist you in working with your
treating/diagnosing professional(s) to prepare the information needed to
evaluate your request(s). Guidelines for the documentation
of a learning
disability are also available. If, after
reading these guidelines, you have any questions, feel free to call the office
at (419) 755-4304.
1. Current functional
impact of the condition(s)
The current relevant functional impacts on physical (mobility, dexterity,
endurance, etc.), perceptual, cognitive (attention, distractibility,
communication, etc), and behavioral abilities should be described as a clinical
narrative and/or through the provision of specific results from the diagnostic
procedures/assessment.
2. Treatments,
medications, accommodations/auxiliary aids, services currently prescribed or in
use
Provide a description of treatments, medications, accommodations/auxiliary aids
and/or services currently in use and their estimated effectiveness in minimizing
the impact of the condition(s). Include any significant side effects that may
impact physical, perceptual, behavioral or cognitive performance. If you feel
that any additional accommodations/auxiliary aids are warranted, please list
them along with a clear rationale and related functional limitations. Any
accommodations/auxiliary aids will be taken into consideration, but not
automatically implemented.
3. The expected
progression or stability of disability over time
If possible, provide a description of the expected change in the functional
impact of the condition(s) over time. If the condition is variable, describe the
known triggers that may exacerbate the condition.
4. A diagnostic
statement identifying the disability
When appropriate, include International Classification of Diseases (ICD) or
Diagnostic Statistical Manual (DSM) codes, the date of the most recent
evaluation, or the dates of evaluations performed by referring professionals. If
the most recent evaluation was not a full evaluation, indicate when the last
full evaluation was conducted.
5. Documentation can be
mailed or faxed to:
Michelle McLane
Disability Specialist
Office for Disability Services
Conard Learning Center
1760 University Drive
Mansfield, OH 44906
Phone:
(419) 755-4304
TTY: (419) 755-4017
FAX (419)
755-4016
e-mail: mclane.15@osu.edu