Mobility - Disability Verification 2025

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  1. Click ‘Get Form’ to open the Mobility - Disability Verification in the editor.
  2. Begin by entering the date at the top of the form. This is essential for tracking your submission.
  3. Fill in your name, address, phone number, and email in the designated fields. Ensure all information is accurate and legible.
  4. In the Diagnostic Information section, provide details about your diagnosis, including the date of diagnosis and last contact with your healthcare provider.
  5. Describe the progression of your condition and how it affects you academically and physically. Be thorough to ensure clarity.
  6. List any current medications along with their dosage and frequency. Include any adverse side effects you experience.
  7. Provide recommendations for accommodations that would assist you, such as extra time for exams or adaptive transportation.
  8. Complete the Healthcare Provider Information section at the end of the form, ensuring it is signed and dated before submission.

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Mobility impairment refers to the inability of a person to use one or more of his/her extremities, or a lack of strength to walk, grasp, or lift objects. The use of a wheelchair, crutches, or a walker may be utilized to aid in mobility.
Mobility is the ability to move. A disability is the result of an impairment that affects a persons ability to carry out tasks.
Mobility/Dexterity Impairment is a broad term referring to any physical disability that limits the physical function of one or more limbs. Mobility/Dexterity impairments can impact the individuals strength, speed, endurance, and coordination.
Spinal Cord Injuries (SCI); Paraplegia; Quadriplegia; Tetraplegia; Hemiplegia; Paralysis; Muscle weakness, injury, strain, sprain or brake; Rheumatoid arthritis; Cerebral Palsy; Muscular Dystrophy; Stroke; Acquired Brain Injury (ABI); Multiple Sclerosis (MD); Spina Bifida; Amputations; Age (infancy aging); Pain;
Mobility impairments. There are many types of orthopedic or neuromuscular impairments that can impact mobility. These include but are not limited to amputation, paralysis, cerebral palsy, stroke, multiple sclerosis, muscular dystrophy, arthritis and spinal cord injury.

People also ask

Mobility limitation, typically defined as reported difficulty walking for one-quarter mile or climbing one flight of stairs, represents an initial, potentially reversible stage of mobility loss; a precursor to mobility disability, the inability to ambulate without great difficulty or assistance (1,2).
A mobility impairment is a disability that affects movement ranging from gross motor skills, such as walking, to fine motor movement, involving manipulation of objects by hand. For more information, consult Glossary of Disability-Related Terms and Mobility Impairments.
Limited mobility means being able to walk independently but only for a short distance and being able to stand unsupported but only for a brief time, without serious health consequences. Also known as hidden mobility disability. HMDA research has verified that 13% of the adult population struggles with limited mobility.

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