Chronic and/or systemic illnesses are considered to be in the medical domain and therefore the documentation must be completed by a physician, neurologist, physiatrist, or other medical specialist with experience or expertise in the domain for which he/she is diagnosing. Comprehensive documentation must be submitted that includes:

1. A clear statement of the existence of a medically determinable chronic illness or systemic illness;
   
   
2. A written report of:
   
   
   • A detailed medical history
     
     
   • A complete physical examination (including a mental status examination)
     
     
   • Medical evidence consisting of medical signs, symptoms (duration, incidence and severity) and laboratory findings
     
     
   • Proof of a substantial reduction in previous levels of occupational, educational, social, or personal activities
     
     
   • Results of diagnostic test battery performed to rule out other causes of symptoms
     
     
3. A description of the condition's current functional impact on learning or other major life activity relevant to the academic experience;
   
   
4. A statement addressing the individual's requested accommodation(s), including rationale as to why these accommodation(s) are warranted;
   
   

   Any request for an extension of time on examinations, based on the impairment should be supported by evidence that reflects a measurable decline in pre-morbid functioning.

5. A statement regarding how the use of medication or other rehabilitative measures may or may not mitigate either the illness or the symptoms associated.