FORM 7 CERTIFICATE OF MEDICAL, PSYCHOLOGICAL, OR 2026

1. Click ‘Get Form’ to open the FORM 7 in the editor.
2. In the first section, provide your name, address, and telephone number. Describe your professional qualifications that qualify you as a medical or psychological authority regarding the applicant’s impairment.
3. List the date(s) on which you personally examined the applicant. Ensure accuracy for proper documentation.
4. Detail the clinical procedures used for diagnosis. Include names of tests and attach relevant medical records and results.
5. Provide the complete ICD-9-CM diagnosis for physical impairments or DSM-IV diagnosis for mental impairments, including severity and course specifiers.
6. Describe the nature and severity of the applicant's impairment and its impact on their ability to take the bar examination under standard conditions.
7. Recommend any non-standard testing accommodations needed, explaining how they relate to the specific impairment. Justify any extensions of examination time recommended.
8. Finally, review all entries for completeness before signing in black ink as a declaration of truthfulness.

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