Documentation from Healthcare Provider
In order to receive accommodations, current and comprehensive verification of the disability must be provided by a qualified professional. Qualified professionals may include, but are not limited to, physicians, psychologists, audiologists or other licensed authorities as determined by the type of disability.
The documentation provided must include the diagnosis of the disability, the impact of the disability in an educational setting, the severity and longevity of the condition, and suggestions for appropriate learning strategies and accommodations.
If you, the student, have current documentation ready to submit to your campus Disability Services Provider:
If you need to acquire documentation from your provider, please download or print the following form and send it to your provider: Verification of Disability Form. This form must be returned to the DSP on your campus.
If you have any questions about documentation requirements, please contact your EICC Disability Services Provider.
Questions? Call toll-free 1-888-336-3907, email firstname.lastname@example.org or contact the college nearest you and ask to speak to an advisor.
- Clinton Community College, 563-244-7000
- Muscatine Community College, 563-288-6000
- Scott Community College, 563-441-4000
It is the policy of Eastern Iowa Community College District not to discriminate in its programs, activities, or employment on the basis of race, color, national origin, sex, disability, age, sexual orientation, gender identity, creed, religion, and actual or potential family, parental or marital status, as required by the Iowa Code §§216.6 and 216.9, Titles VI and VII of the Civil Rights Act of 1964 (42 U.S.C. §§ 2000d and 2000e), the Equal Pay Act of 1973 (29 U.S.C. § 206, et seq.), Title IX (Educational Amendments, 20 U.S.C. §§ 1681-1688), Section 504 (Rehabilitation Act of 1973, 29 U.S.C. § 794), and Title II of the Americans with Disabilities Act (42 U.S.C. § 12101, et seq.). If you have questions or complaints related to compliance with this policy, please contact Debora J. Sullivan, Equal Employment Opportunity Officer/Equity Coordinator, Eastern Iowa Community College District, 101 West Third Street, Davenport, Iowa 52801, 563-336-3487, email@example.com or the Director of the Office for Civil Rights, U.S. Department of Education, Citigroup Center, 500 West Madison Street, Suite 1475, Chicago, Illinois 60661-7204, phone number 312-730-1560, fax 312-730-1576, OCR.Chicago@ed.gov.