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College Board

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Physical/Medical Disabilities

Documentation guidelines for students with physical and medical disabilities

Some students with physical or medical disabilities may be eligible for accommodations on College Board tests. To be eligible for accommodations, the student must have documentation that meets the College Board's Guidelines for Documentation. The documentation must show evidence of:

  • The disability
  • The degree to which the student's activities are affected (functional limitation)
  • The need for the specific accommodation requested

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The following guidelines will assist the student in supplying the information needed to determine accommodations on College Board tests. Documentation should include:  

  • The evaluator's name(s), title(s), professional credentials, license number, address(es), date of the assessment, and phone number(s) (Generally a physician with specialization in the particular area of the diagnosed disability)
  • A clear statement of the physical disability
  • Current documentation, generally within one year (the age of acceptable documentation depends on the disabling condition, the current status of the student and the student's specific request for accommodations)
  • The assessment procedures and evaluation instruments used to make the diagnosis and determine the need for accommodations
  • The symptoms and evaluation results that support the diagnosis and its impact on the student's ability to participate in College Board tests
  • Other relevant information that might help us to understand the student's needs for accommodation, such as historical information about the onset of the impairment; a description of the student's current abilities; the student's use of accommodations in school and their impact on his or her performance; and the use of medication or other interventions, and the student's response to intervention
  • Recommendations of accommodation(s), supported by diagnosis
  • A rationale for each accommodation recommended by the evaluator.

In many situations, it is not evident from the physical/medical diagnosis why a particular accommodation is required.  In these cases, it may be necessary to provide a psycho-educational evaluation to support the request for accommodations.  It is not enough to state generally that a physical/medical condition may cause learning difficulties; the documentation must demonstrate that the student in fact requires the accommodations being requested.  Additionally, accommodation needs can change over time and are not always identified through the initial diagnostic process. Therefore, it is important to provide documentation of the student's current condition and need for accommodations.

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  • Services for Students with Disabilities (SSD)
  • College Board SSD Program
  • P.O. Box 8060
  • Mt. Vernon, Illinois 62864-0060
  • Phone: (609) 771-7137
  • FAX: (866) 360-0114
  • TTY: (609) 882-4118
  • Email:
  • Phones are available between 8 a.m. and 6 p.m. (Eastern Time), Monday through Friday. You may also contact PSAT/NMSQT, SAT or AP for specific information about each program.

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