PRINTED ON OFFICE OF DISABILITY SERVICES LETTERHEAD

ODS Provisional LD/ADD Documentation Form

________________________ (student name, class year) has provided ODS with partial documentation as of ________________ (date received/reviewed), and has been approved for provisional disability-related accommodations by the Academic Accommodations Committee (AAC) on ______ (date) for the fall/spring term.  In order to request accommodations for any subsequent semester/s, the following additional documentation must be provided to ODS no later than __________: 

1)

2)

3)

Students are urged to contact their evaluators as soon as possible so that any additional required testing can be scheduled, completed, and reports sent by the deadline listed above.  Because the original LD/ADD documentation provided to ODS did not meet the standards set by Barnard in the ODS policy statement, Documentation of a Learning Disability/Attention Deficit Disorder, accommodations this semester were provided on a provisional basis only.  Please remember that disability-related accommodations may not be provided for any additional semester unless/until the requested documentation is received/reviewed as per these guidelines.

Student Name:
Class:
Initials:
Date:

ODS Staff:
Initials:
Date:

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