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How to use or fill out 504 form pdf 2022 with DocHub
- Click ‘Get Form’ to open the 504 form PDF in our platform's editor.
- Begin by entering the student's name, date of birth, school name, and student ID number in the designated fields at the top of the form.
- In the medical diagnosis section, select the appropriate diagnosis from the provided options and enter any relevant ICD-10 or DSM-V codes.
- Indicate whether the condition is temporary by checking 'Yes' or 'No' and specify the estimated duration if applicable.
- Complete the requested accommodations table by listing each diagnosis along with corresponding accommodations and expected duration. Be sure to detail how each diagnosis affects educational performance.
- Fill in health care practitioner information, including their name, contact details, and signature. Ensure all required fields are completed for a valid submission.
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