Disability Verification - Confidential - Ashford University 2025

1. Click ‘Get Form’ to open the Disability Verification form in the editor.
2. Begin by filling out the Student Information section. Enter your first name, last name, and student ID accurately to ensure proper identification.
3. In Section A, provide details about your primary and secondary diagnoses along with their corresponding diagnosis codes. Check all applicable limitations related to your educational experience.
4. Indicate the duration of your disability and whether it is permanent or temporary. If temporary, specify the anticipated duration.
5. Move to Section B and describe any current accommodations or assistive devices you use. Include additional recommendations that may enhance your educational access.
6. In Section C, document any exacerbation of symptoms that affected your education, including relevant dates and descriptions.
7. Finally, complete Section D by having a certifying professional sign and provide their details, including title and license number.

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