4. A description of the current functional limitations
Information on how the disabling condition(s) currently impacts the individual provides useful
information for both establishing a disability and identifying possible accommodations. A
combination of the results of formal evaluation procedures, clinical narrative, and the individual’s
self report is the most comprehensive approach to fully documenting impact. The best quality
documentation is thorough enough to demonstrate whether and how a major life activity is
substantially limited by providing a clear sense of the severity, frequency and pervasiveness of
the condition(s).
While relatively recent documentation is recommended in most circumstances, common sense
and discretion in accepting older documentation of conditions that are permanent or non-
varying is recommended. Likewise, changing conditions and/or changes in how the condition
impacts the individual brought on by growth and development may warrant more frequent
updates in order to provide an accurate picture. It is important to remember that documentation
is not time-bound; the need for recent documentation depends on the facts and circumstances
of the individual’s condition.
5. A description of the expected progression or stability of the disability
It is helpful when documentation provides information on expected changes in the functional
impact of the disability over time and context. Information on the cyclical or episodic nature of
the disability and known or suspected environmental triggers to episodes provides opportunities
to anticipate and plan for varying functional impacts. If the condition is not stable, information
on interventions (including the individual’s own strategies) for exacerbations and recommended
timelines for re-evaluation are most helpful.
6. A description of current and past accommodations, services and/or medications
The most comprehensive documentation will include a description of both current and past
medications, auxiliary aids, assistive devices, support services, and accommodations, including
their effectiveness in ameliorating functional impacts of the disability. A discussion of any
significant side effects from current medications or services that may impact physical, perceptual,
behavioral or cognitive performance is helpful when included in the report. While
accommodations provided in another setting are not binding on the current institution, they may
provide insight in making current decisions.
7. Recommendations for accommodations, adaptive devices, assistive services, compensatory
strategies, and/or collateral support services.
Recommendations from professionals with a history of working with the individual provide
valuable information for review and the planning process. It is most helpful when recommended
accommodations and strategies are logically related to functional limitations; if connections are
not obvious, a clear explanation of their relationship can be useful in decision-making. While the
post-secondary institution has no obligation to provide or adopt recommendations made by
outside entities, those that are congruent with the programs, services, and benefits offered by
the college or program may be appropriate. When recommendations go beyond equitable and
inclusive services and benefits, they may still be useful in suggesting alternative accommodations
and/or services.
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