This form should be filled out by a qualified professional for documentation of the disability for which you are requesting accomodation(s). This is a fillable PDF and can be returned via email to accessibility@amherst.edu.
Accessibility Services will not release any of your private information to third parties without your permission. We strictly adhere to Family Educational Rights and Privacy Act (FERPA) best practices. If you would like for us to release information to your parent(s), guardians or another third party, please make this request by completing the attached form and emailing it to Accessibility Services.