№ files_lp_3_process_7_040626
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
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
Price: 8 / 10 USD
The file will be delivered to the email address provided at checkout within 12 hours.

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