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How to use or fill out Instructions for Medical Certification for Disability Exceptions

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  1. Begin by clicking ‘Get Form’ to open the Instructions for Medical Certification for Disability Exceptions in our editor.
  2. In Part 1, enter the applicant's legal name, Alien Registration Number (if applicable), and date of birth. Ensure all information is accurate and clearly printed.
  3. Proceed to Part 2, where the certifying medical professional must provide their name, business address, license number, and contact details. This section is crucial as it verifies the authority of the certifier.
  4. In Part 3, detail the applicant's disabilities or impairments. Use common terminology without abbreviations to ensure clarity. Include clinical diagnoses and relevant medical codes.
  5. Complete Parts 4 through 7 by answering questions regarding the applicant's ability to understand the Oath of Allegiance, interpreter information if applicable, and both the applicant’s and medical professional’s certifications.

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