№ files_lp_3_process_7_040626
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Official medical verification form issued by Hiram College Disability Services to document blindness or visual impairment and substantiate eligibility for academic and workplace accommodations under ADA and GINA regulations.
Organization:
Hiram College Disability Services
Institution:
Hiram College
Address:
P.O. Box 67, Hiram, OH 44234
Phone:
330-569-6114
Website:
www.hiram.edu/disabilityservices
Email:
[email protected]
Document Type:
Medical Documentation Form
Purpose:
Verification of blindness or visual impairment for academic and workplace accommodations
Legal Framework:
Americans with Disabilities Act (ADA); Genetic Information Nondiscrimination Act of 2008 (GINA)
Applicable Setting:
Academic and workplace environment at Hiram College
Required Certifying Authority:
Licensed medical professional (e.g., Neuro-ophthalmologist, Ophthalmologist, Low Vision Specialist)
Submission Method:
Mail or email to Hiram College Disability Services
Required Information:
Diagnosis, onset date, diagnosis date, visual acuity, visual field, prognosis, treatments or assistive devices, recommended accommodations
Signature Requirement:
Certifying professional signature and date
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The product description is provided for reference. Actual content and formatting may differ slightly.
Note:
Year
Theme:
Inherited Retinal Diseases, Clinical Studies
Document Type:
Informational, Consortium Overview
Organization / Institution:
Foundation Fighting Blindness
Target Audience:
Clinical Centers, Researchers, Medical Professionals
Context:
A document outlining the structure, funding, and selection process for clinical centers participating in the Foundation Fighting Blindness Consortium, focused on inherited retinal diseases.
Year:
2022-2023
Region / City:
Baltimore, Maryland
Topic:
Blindness-related products and literature
Document Type:
Catalog
Organization / Institution:
National Federation of the Blind
Author:
National Federation of the Blind
Target Audience:
People who are blind, have low vision, or are experiencing vision loss
Period of Validity:
Ongoing
Approval Date:
Not specified
Date of Changes:
Not specified
Note:
Year
Year:
Not specified
Country:
United States
Funding Source:
U.S. Department of Health and Human Services
Granting Agency:
National Institute on Disability, Independent Living, and Rehabilitation Research (Grant 90RT5040)
Issuing Organization:
National Research and Training Center on Blindness and Low Vision
Institutional Location:
Mississippi State University
Associated Technical Assistance Center:
National Technical Assistance Center on Blindness and Low Vision
Document Type:
Orientation packet and informational resource guide
Primary Audience:
Vocational Rehabilitation Professionals
Subject Area:
Blindness and Low Vision Employment and Rehabilitation
Scope:
National
Contact Information:
Phone (662-325-2001); Email ([email protected]
Note:
); Websites (www.blind.msstate.edu
Includes:
Misperceptions about Blindness; Blindness Etiquette; Training and Resource Listings; Acronyms and Jargon
Year:
2016
Region / City:
USA
Theme:
Audio Accessibility, Disney Movies
Document Type:
Fact Sheet
Organization / Institution:
Disney Pixar, Disney Movies Anywhere
Author:
Disney Pixar
Target Audience:
Visually impaired community, Disney movie fans
Period of validity:
N/A
Approval Date:
N/A
Modification Date:
N/A
Note:
Description
Year:
2026
Region / City:
Tel Aviv, Israel
Subject:
Accessibility technology, Assistive devices
Document Type:
Product overview / System description
Organization:
Step-Hear
Author:
Step-Hear team
Target Audience:
People with blindness or visual impairment, public transportation authorities, venue managers
Key Features:
STEP-HEAR GUIDE, STEP-HEAR URBAN, STEP-HEAR ASSISTANT, Audio-Sign, wrist activator
Usage Context:
Public spaces, commercial buildings, pedestrian crossings, public transportation
Website:
www.step-hear.com
Contact:
155 Yigal Alon, Tel-Aviv 6744363, Tel: +972-72-2504941
Media:
Overview video at https://www.youtube.com/watch?v=0J2O6dpR_uo
Year:
2019
Region / city:
OECD
Topic:
Adverse Outcome Pathway, oxidative stress, brain development, neurotoxicity
Document Type:
External Review Report
Author:
OECD EAGMST review manager
Target Audience:
Scientific community, regulators, policymakers
Period of validity:
Not specified
Approval Date:
June 2018
Date of revisions:
17 March 2020
Year:
2026
Region / City:
United States
Topic:
Occupational illness compensation, impairment evaluation
Document type:
Letter, response form
Organization / Institution:
U.S. Department of Labor, Office of Workers’ Compensation Programs
Author:
Unknown
Target audience:
Claimants under EEOICPA
Period of validity:
Indefinite
Approval date:
Not provided
Modification date:
Not provided
Note:
Year
Document Type:
Medical Form
Organization:
World Archery
Target Audience:
Athletes, Medical Professionals
Year:
2022
Region / City:
Kentucky
Topic:
Driver safety, physical or mental impairment
Document Type:
Form
Organization / Institution:
Kentucky Transportation Cabinet, Department of Vehicle Regulation
Author:
Kentucky Transportation Cabinet
Target Audience:
Citizens, law enforcement officers, physicians, judges, government employees
Period of Validity:
N/A
Approval Date:
N/A
Amendment Date:
N/A
Year:
2023
Region / city:
Greater Manchester
Subject:
Vision impairment, healthcare support
Document type:
Information brochure
Organization / institution:
NHS, Henshaws, Greater Manchester Combined Authority
Author:
Not specified
Target audience:
Individuals with vision impairment, healthcare professionals
Period of validity:
Ongoing
Approval date:
Not specified
Date of changes:
Not specified
Document Type:
Clinical Guidelines
Authors:
Dr Bethan McMinn Consultant Community Paediatrician; Dr Klara Brzyska Paediatric ST4
Approval / Effective Date:
01/01/2023
Review Date:
01/01/2025
Version:
1
Target Audience:
People who need to know about this document in detail
Note:
Paediatricians (acute and community)
Disclaimer:
If the review date of this document has passed, please ensure that the version you are using is the most up to date version either by contacting the author.
Year:
2023
Region / City:
East Anglia, Wales
Theme:
Early Developmental Impairment, Intellectual Disability, Paediatric Assessment
Institution:
Cwm Taf Morgannwg University Health Board
Author:
Dr Bethan McMinn, Dr Klara Brzyska
Period of validity:
01/01/2023 - 01/01/2025
Approval Date:
01/01/2023
Year:
2012
Region / City:
Morgan County, Georgia
Topic:
Legal procedure, DUI test evidence
Document type:
Court brief
Organ / Institution:
Superior Court of Morgan County, Georgia
Author:
N/A
Target Audience:
Legal professionals, court officials
Period of validity:
N/A
Approval date:
N/A
Date of changes:
N/A
Year:
2021
Region / City:
Australia
Topic:
Vision impairment, Neurological disorders
Document Type:
Fact Sheet
Organization / Institution:
CVI Community Australia
Author:
Not specified
Target Audience:
Families, healthcare professionals, educators
Period of Validity:
Not specified
Date of Approval:
July 2021
Date of Changes:
Not specified
Year:
2021
Region / City:
Virginia, United States
Topic:
Cortical Visual Impairment (CVI)
Document Type:
Workshop Overview
Organization:
Virginia Dept. for the Blind and Vision Impaired (DBVI), Virginia School for the Deaf and Blind (VSDB), Virginia Dept. of Education (VDOE)
Author:
Chris Russell
Target Audience:
Professionals working with children with CVI (TVIs, SLPs, OTs, PTs, etc.)
Period of Validity:
N/A
Approval Date:
N/A
Date of Changes:
N/A
Context:
Workshop overview on Cortical Visual Impairment focusing on characteristics, phases, and intervention strategies.
Year:
Not specified
Region / City:
Not specified
Topic:
Early childhood education, visual and hearing impairments
Document Type:
Educational materials
Organization / Institution:
VA Department of Education, VSDB, TSBVI, Sunshine Cottage
Author:
Not specified
Target Audience:
Professionals working with infants and young children with visual or hearing impairments
Period of validity:
Not specified
Approval Date:
Not specified
Modification Date:
Not specified
Year:
2025
Region / City:
Canberra, Australia
Topic:
Cognitive impairment, delirium, dementia, healthcare procedures
Document Type:
Procedure
Organization / Institution:
Canberra Health Services
Author:
Canberra Health Services
Target Audience:
Clinical staff, healthcare providers
Period of Validity:
Not specified
Approval Date:
Not specified
Date of Changes:
Not specified
Year:
2015
Document version:
IBSA 1/2015
Document title:
Medical Diagnostics Form (MDF) for Athletes with Visual Impairment
Document type:
Medical diagnostic form
Issuing organization:
International Blind Sports Association
Field:
Sports medicine
Medical specialty:
Ophthalmology
Target group:
Athletes with visual impairment
Purpose:
International classification of athletes
Language requirement:
English
Validity period:
Not older than 12 months at the time of international classification
Submission system:
ISAS (IBSA system)
Submission deadline:
6 weeks prior to first classification day
Certification required by:
Registered ophthalmologist
Applicable classifications:
B1, B2, B3, NE
Related sport context:
Paralympic and IBSA-recognized sports
Format requirement:
PDF
Source type:
Official medical and classification record
Year:
2026
Region / City:
UK
Theme:
Creative Writing Competition for Children with Vision Impairment
Document Type:
Announcement
Organization:
Royal National Institute of Blind People (RNIB)
Target Audience:
Children with Vision Impairment
Period of Validity:
4 January 2026 – 23 February 2026
Approval Date:
4 January 2026
Date of Changes:
N/A