Disability Documentation

This step is for those students who are currently undergoing treatment by a licensed professional (eg:  Doctor, Nurse Practitioner, Chiropractor etc.).  Please print one page per licensed professional that you see.  If you have a learning disability such as dyslexia, dyscalculia, etc. then select the Learning Disability Assessment tab on the left side of the page to access the Learning Disability (LD) Records Request document. 

Once you have printed the Disability Documentation Form.pdf​ please only complete the area marked Student Section and make sure that you have included your signature.  Your signature acts as a medical release and without it your licensed professional will be unable to complete their section.  Please take this form to your licensed professional and request that they complete the remainder of the form.  When this is completed please return this page with your application to the Partners in Access to College Education ​office and schedule your first appointment.