When requesting services, each student must include a completed Disability Services Request Form along with current documentation from a certified professional (that is usually not more than three years old) and includes the following:
- Quantitative and qualitative information that supports the diagnosis
- Names of any assessment instruments used
- Severity of the disability and impact on major life activities in and out of the classroom
- Recommendations for specific accommodations
- Notation of medications prescribed, if any, and potential impact on learning
- Additional observations or recommendations which could assist us in adequately serving the student
- Names, titles, addresses, and phone numbers of the evaluators, as well as dates of testing
Examples of Acceptable Documentation
- Deaf and Hard of Hearing: Audiogram accompanied by audiologist's report documenting a hearing loss that necessitates support services in order to participate in class;
- Visually Impaired: Report from ophthalmologist/optometrist documenting the need for services other than corrective lenses;
- Psychological Disability: Clinical diagnosis should be by a licensed psychologist or psychiatrist based on DSM-IV criteria indicating functional limitations and how the disability impacts one's ability to function as a university student in a learning environment;
- Medical Disability: Documentation of a disease, illness, etc. from an appropriate physician specialist, listing any functional limitations and its impact;
- Learning Disability: Documentation should meet the Association of Higher Education and Disability's (AHEAD) Guidelines for Documentation of a Learning Disability in Adolescents and Adults, July 1997
- Attention Deficit/Hyperactivity Disorder: Documentation should meet guidelines established by the 1998 Consortium on ADHD Documentation
Rick Muthiah
Dean of Learning Support Services
George Fox University
414 N. Meridian #6197
Newberg, OR 97132
Call 503-554-2314 or email rmuthiah@georgefox.edu if you have any questions.

