To ensure the provision of appropriate services for students, Accessibility Services may request that students provide current and comprehensive documentation of their disability and its impact on their education.

To evaluate requests for accommodations or auxiliary aids at Lewis-Clark State College, more information may be requested. All contact information and documentation received is kept confidential and will not be released without written consent. Documentation that may be requested includes, but is not limited to:

  • Diagnostic statement identifying the disability, date of the current diagnostic evaluation, and date of the original diagnosis
  • Description of the diagnostic criteria and/or diagnostic assessment used
  • Current functional impact of the disability
  • Treatments, medications, assistive devices/services currently prescribed or in use
  • Description of the expected progression or stability of the impact of the disability over time
  • Credentials of any diagnosing professionals
  • Please note that a students high school I.E.P's are not considered official documentation, but can be used to help assign accommodations.

Assessment Providers

If you need formal documentation, there are Community Assessment Providers that can assist you with acquiring the verification needed for accommodations.  The providers listed can assist with assessment and documentation of a disability.  (You are not limited to using the providers listed below; these providers are listed for your convenience.) For a comprehensive list of regional providers please contact Accessibility Services.

Washington State University Psychology Clinic
(509)-335-3587
Johnson Tower 362
Pullman, WA 99164-4820


University of Idaho Counseling & Assessment
(208) 885-6716
1210 Blake Avenue
Moscow, ID 83844-3140

Dr. Timothy Rehnberg, PhD
(208) 883-1144
2301 W. A Street, Ste C
Moscow, ID 83843

Dr. Rebecca Alexander
(208) 883-0619
814 S. Washington
Moscow, ID 83843

Disability Verification Forms

Forms are completed by the student's provider (doctor, etc) or evaluator. Each form indicates the typical specialty who completes the form.

This form should be completed by a licensed physician, psychologist, or other licensed professional qualified to diagnose the specific disability of the student.

Service Animals are allowed at all campus locations per the ADA. Under the ADA, a service animal is defined as an animal that has been individually trained to do work or perform tasks for an individual with a disability. The task(s) performed by the animal must be directly related to the person's disability.

Emotional Support Animal (ESA) Verification Form

This form should be completed by a licensed psychologist, neuro-psychologist, psychiatrist, or other licensed professional qualified to diagnose the specific disability of the student.

Mental Health Disorders Verification Form

This form should be completed by a licensed psychologist, neuro-psychologist, psychiatrist, or other licensed professional qualified to diagnose the specific disability of the student.

Neurocognitive Disorders Verification Form

This form should be completed by a licensed psychologist, neuro-psychologist, psychiatrist, or other licensed professional qualified to diagnose the specific disability of the student.

This form should be completed by a licensed physician, psychologist, audiologist, ophthalmologist, or other licensed professional qualified to diagnose the specific disability of the student.

Physical Sensory Disorders Verification Form

This form should be completed by a licensed psychologist, neuro-psychologist, psychiatrist, or other licensed professional qualified to diagnose the specific disability of the student.

Psychiatric and/or Psychotic Disorders Verification Form

Forms can either be printed and completed in paper form OR completed digitally.