Recommended Documentation for Disabilities

In order to identify the most appropriate assistance we can offer, you must provide Jackson State with information from a qualified health care provider. It must be submitted before any adjustments are made.

Detailed documentation must be less than five years old and include:

 A disability must substantially limit one or more major life activities including, but not limited to, walking, seeing, hearing, speaking, breathing, learning, working, caring for oneself and performing manual tasks.

Medical/Physical Disability Documentation Form

Psychological/Psychiatric/ADHD/Learning Disability Documentation Form

Learning Disability
Evaluation from a licensed school psychologist, licensed psychological examiner, licensed clinical psychologist, or neurophysiologist who is specialized in assessing learning disorders.
Attention Deficit Disorder (ADD/ADHD)

Comprehensive evaluation with clinical interview, historical data, psychological tests, clinical observations by a licensed school psychologist, licensed psychological examiner, licensed clinical psychologist, or neurophysiologist, who has speciaized training in assessing ADD/ADHD.

Psychiatric Disorder
Information from a licensed psychiatrist or licensed psychologist.
Physical Disability
A licensed physician’s report stating the diagnosis, explanation of physical limitations – including specific access needs, medical history, medications, and duration of condition.
Visual Impairment
Assessment from a licensed optometrist or ophthalmologist.
Hearing Disorder
Report from an audiologist with audiogram showing type and degree of hearing loss.
Traumatic Brain Injury
Evaluation by a licensed neurophysiologist, licensed orthopedic specialist, licensed speech-language pathologist, and/or other specialists as appropriate.