·	date of assessment and diagnosis

·	current functional impact of the disability and limitations of the disorder on the student’s academic performance

·	treatments or medications in current use

·	estimated effectiveness of treatments or medications in lessening the impact of the disability

·	expected duration, stability or progression of the condition

·	clinical summary of the procedures and instruments used to make the diagnosis, to include a diagnostic interview as well as testing results

·	specific recommended academic accommodations for the condition with a rationale for each recommendation

·	for psychiatric disabilities, a complete DSM-IV-TR diagnosis in multiaxial format, current symptoms that meet the diagnosis, assessment procedures, and evaluation instruments and results in addition to all of the above

The documented disability must be a physical or mental impairment that substantially limits one or more major life activities. A qualified individual with a disability must satisfy the requisite skill, experience, education, and other program-related requirements and can perform, with or without reasonable adjustments, the essential requirements of such a program. 

The student will be asked to sign an Authorization for Release and Exchange of Information Form (Appendix C) if they desire contact between the staff of the Counseling/Disability Services Office and their healthcare provider for any reason.

The semester prior to a student’s documentation becoming out of date, the student will be given notice of the need to update documentation.  The Director of Counseling/Disability Services will review documentation needs with the student and will ask the student to sign the Notice Regarding the Need to Update Documentation (Appendix D) form.

Documentation should be submitted via regular mail to the  Director of Counseling/Disability Services Office, One Cumberland  Square, Lebanon, TN  37087 or, if you prefer, by E-mail at jkissell@cumberland.edu.