Medical Verification Form Sonoma State University Disability Services for Student 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the student's name and address in the designated fields. Ensure accuracy as this information is crucial for processing.
3. In section 1, provide a detailed diagnosis of the student’s impairment. This is essential for determining eligibility for services.
4. For section 2, indicate when the condition was diagnosed. This helps establish the timeline of the disability.
5. In section 3, assess major life activities by checking the appropriate impact level. Provide descriptions where necessary to clarify any moderate or severe impacts.
6. Section 4 requires you to describe how the medical condition affects academic performance and attendance. Be specific about areas like concentration and learning.
7. If applicable, detail any medication prescribed in section 5, including potential side effects on academic performance.
8. Complete sections 6 through 9 regarding treatment details and whether the condition is permanent or temporary.
9. Finally, ensure that all required signatures are provided in the certifying medical professional section before submitting your form.

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