To be completed by a Qualified Licensed Provider: Converse University provides testing and classroom accommodations for students with a verified and substantially limiting disability. A student’s documentation must demonstrate the existence of a condition covered by the Americans with Disabilities Act (ADA: 1990). The ADA defines a disability as a physical or mental impairment that substantially limited one or more major life activities. Documentation of such impairment must be derived from a licensed provider who is not a relative of the student. Students must provide this document to their provider to be completed and and returned to Disability Services.

To be completed by a Qualified Licensed Provider: A licensed clinical psychologist, clinical neuropsychologist, psychiatrist, or other appropriately trained medical professional with expertise in the field of adult psychological disorders must conduct a complete psychological assessment. Students must provide this document to their provider to be completed and and returned to Disability Services.

To be completed by a Qualified License Provider: A learning disabilities assessment, which reflects the current impact of identified impairments on academic performance must be done by a licensed professional who is qualified to administer and interpret intelligence and achievement tests, and a diagnostic report based upon the assessment. This assessment must be done by a trained and certified and/or licensed psychologist, learning disabilities specialist, VR staff psychologist, school psychologist, or educational therapist. Students must provide this document to their provider to be completed and and returned to Disability Services.

A full assessment for ADHD must be conducted by a licensed clinical psychologist, clinical neuropsychologist, psychiatrist, Vocational Rehabilitation psychologist or school psychologist with expertise in the differential diagnosis of adult psychological disorders.