Disabiity Support Services

Disability Support Services Department

How to Document a Disability

The De Anza College Disability Verification form

  • is required to document most disabilities
  • must be dated within one year
  • must besigned by an appropriate professional

Eligible disability conditions and the professionals who are authorized to verify them are listed in Disability Definitions/Documentation.

The Disability Verification Packet contains 4 documents (.pdf) to be printed and taken to the treating professional.

Disability Verification Packet
Purpose

Instructions to Student

Step by step instructions for prospective DSS students
Disability Verification form Doctor or treating professional completes & signs.
Definitions/Documentation page
Information on eligible disabilities and the treating professionals who may verify them.
Letter to Treating Professional
Instructions for the doctor or treating professional on completing the Disability Verification form

To complete the verification process, a prospective DSS student must

  1. Click on Disability Verification Packet to open the PDF documents.
  2. Complete  Student Section at the top of the Disability Verification form
    • Fill in the fields on the PDF form on-line OR
    • Fill in by hand AFTER packet is printed
  3. Print all four items in the packet.
  4. Provide this entire packet to your treating professional/doctor to complete and sign.
  5. After the Disability Verification Form is completed and signed by the treating professional or doctor, it should be returned to

    Disability Support Services
    De Anza College

    21250 Stevens Creek Blvd.
    Cupertino, CA 95124
    FAX 408.864.5492
  6. The fastest return method is by FAX directly to the DSS office at 408.864.5492.
  7. The form may also be returned by hand, or by mail.
  8. Upon receipt, the DSS office staff will telephone to schedule and Intake-Appointment.

NOTE: Use Adobe Acrobat Reader 5.0 or higher to open and print document.






Disabiity Support Services Building: SCS-141
Contact: Patricia Whelan
Phone: 408.864.8753
TTY: 408.864.8748
Contact:
Phone:
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Last Updated: 2/10/11