Guidelines for Documentation of Head Injury/Traumatic Brain Injury

Students applying for services and academic accommodations on the basis of a head injury/traumatic brain injury should submit documentation completed by practitioners who have been trained in the assessment of head injury or traumatic brain injury. Recommended practitioners include physicians, neurologists, licensed psychologists, neuropsychologists, and psychiatrists.

Documentation should address the following:

  • Clear statement of diagnosis of the head injury or traumatic brain injury.
  • Date of diagnosis, along with prognosis that specifically states if the condition is expected to improve over time or if it is permanent.
  • Summary of cognitive and achievement measures used and evaluation results including standardized scores or percentiles used to make the diagnosis as well as a summary of present residual symptoms that meet the criteria for the diagnosis.
  • Medical information that includes the impact of any medication and side effects of how the medication will affect the student’s academic performance.
  • Recommendations for reasonable acadenic accommodation that are supported by the diagnosis and functional impact of the disability.