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Information Request Form
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Information Request Form
Registration Procedures

 

Students who are seeking services at Penn State DuBois must self-disclose the need for academic adjustments, auxiliary aids, and/or services to the Office for Disability Services (ODS).  They may do so by calling Diana Kreydt at 372-3037 or e-mailing dlk34@psu.edu.

In order for a student’s disorder/impairment to be considered a disability, the student must demonstrate through documentation that the disorder/impairment meets the definition of a disability under Title II of the Americans with Disabilities Act ( ADA) of 1990 and Section 504 of the Rehabilitation Act of 1973. A disability is defined as a physical or mental impairment that substantially limits one or more major life activities. 

Procedures for Requesting Academic Adjustments, Auxiliary Aids, and/or Services

Listed below is a brief description of the procedures for submitting documentation and determining eligibility for academic adjustments, auxiliary aids, and/or services at Penn State.

Students seeking services for a disability must self-disclose the need for services to ODS.  The student should contact ODS to schedule an appointment for an intake interview. During the intake interview the student’s disorder/impairment and academic history are discussed, services are explained, and the rights and responsibilities of the student and Penn State are reviewed.  

 

Each student is required to provide diagnostic documentation from a licensed professional. It is the responsibility of the student to obtain documentation and present a copy to ODS for review. The documentation must meet Penn State’s guidelines for appropriate documentation. For detailed information regarding Penn State’s guidelines for documenting a specific disability, go to the following web site: http://www.equity.psu.edu/ods/guidelines.asp  

 

The documentation is reviewed and evaluated to determine if Penn State’s documentation guidelines have been met, and to determine if the student’s disorder/impairment meets the criteria for having a disability. A disability (as defined by the Rehabilitation Act, 1973, and the American’s with Disabilities Act, 1990) is defined as a physical or mental impairment that substantially limits one or more major life activities. The determination for reasonable academic adjustments, auxiliary aids, and/or services is an interactive process that is determined on a case by case and a course by course basis.  

 

Students interested in obtaining services at Penn State DuBois for a disability should begin the process described above as soon as possible. If additional information is needed at any time during the process, the procedure of reviewing documentation can be delayed, which may also delay the delivery of academic adjustments, auxiliary aids, and/or services.

A clinical diagnosis is not synonymous with a disability. That is, evidence sufficient to render a clinical diagnosis might not be adequate to determine that an individual is substantially limited in a major life activity. The documentation must include the student’s specific current functional impairment(s) and describe how the disorder/impairment substantially limits one or more major life activities in order for Penn State to fully evaluate the necessity for academic adjustments, auxiliary aids, and/or auxiliary services. 

If the documentation submitted does not sufficiently address the student's current functional impairment or describe how the disorder/impairment substantially limits one or more major life activities, additional information will be required.  

 

 

 


ADHD Verification Form
65 KB
ADHD Verification Form

ADHD Verification Form, please download this form if needed.


Verification Form for Health Disorders
60 KB
Verification Form for Health Disorders

Verification Form for Health Disorders, download this form if needed.


Hearing Impairments
73 KB
Hearing Impairments

Hearing Impairments Form, download this form if needed.


Mobility Impairments
59 KB
Mobility Impairments

Mobility Impairments form, please download if needed.


Verification Form for Neuroimpairment
56 KB
Verification Form for Neuroimpairment

Verification Form for Neuroimpairment, please download this form if needed.


Verification Form for Psychological Disorders
59 KB
Verification Form for Psychological Disorders
Verification Form for Psychological Disorders, download this form if needed.

Verification Form for Visual Impairements
59 KB
Verification Form for Visual Impairements

Verification Form for Visual Impairements, please download this form if needed.