Medical Documentation Requirements

The standard format for medical documentation required by Central Carolina Community College's Office of Student Accessibility Services is as follows:

  • Diagnosis from an appropriately licensed professional (with signature)
  • Diagnosis on official letterhead with contact information (not on a prescription memo pad) 
  • The information must include: 
    • diagnosis (with assessment tool used to diagnose); 
    • symptoms (with information on severity and frequency); 
    • impact on educational setting; 
    • recommendation for academic accommodations; 
    • a list of all currently-prescribed medications; 
    • and side effects, if not taken as prescribed. 

All documentation should be current within 3-5 years. If you have older documentation, please reach out to Student Accessibility Services. All accommodation requests are reviewed on a case-by-case basis. 

If you have additional documentation, feel free to submit what you have available for review to the coordinator of Student Accessibility Services. Note: IEP’s and 504-Plans are supplemental materials only.

Documentation:

  • Diagnosis from a licensed professional (physician, licensed psychologist, licensed counselor, neurophysiologist, or mental health professional)
  • Evaluations of student
  • Professional recommendation for accommodation
  • Professional list of current medication(s) and side effects, if not taken as prescribed

Documentation:

  • Diagnosis from a licensed clinical psychologist, psychiatrist, psychiatric advanced practice registered nurse (APRN), licensed clinical social worker, or other relevantly trained medical doctors
  • Professional recommendation for accommodation
  • Professional list of current medication(s) and side effects, if not taken as prescribed

Documentation:

  • Diagnosis of impairment from a licensed audiologist
  • Assessment should include functional limitations in an academic environment that would impede learning
  • Professional recommendation for accommodation

Documentation:

  • Diagnosis from a learning disability specialist or a licensed psychologist: clinical, educational, school, or neuropsychologist
  • Assessment must include aptitude-testing, achievement-testing, or analysis of information processing
  • Professional recommendation for accommodation
  • Professional list of current medication(s) and side effects, if not taken as prescribed

Documentation:

  • Diagnosis and clear identification of symptoms by a developmental pediatrician, neurologist, psychiatrist, psychologist, neuropsychologist, etc.
  • A recent psychological or neuropsychological examination detailing the individual's current cognitive functioning as it impacts the educational environment
  • Professional recommendation for accommodation
  • Professional list of current medication(s) and side effects, if not taken as prescribed

Documentation:

  • Documentation from a licensed/qualified professional, such as a physician or a licensed physical therapist
  • Professional recommendation for accommodation
  • Professional list of current medication(s) and side effects, if not taken as prescribed

Documentation:

  • Documentation from an optometrist or ophthalmologist
  • Assessment should include functional limitations in an academic environment that would impede learning
  • Professional recommendation for accommodation