Traumatic Brain Injury

Traumatic Brain Injury (TBI) is defined as trauma to the brain resulting from injury, cerebral vascular accidents, tumors, or other medical conditions

  • Students requesting accommodations on the basis of a TBI or brain injury must provide documentation by a neuropsychologist.
  • Documentation must be current: within the past 3 years for a high school student and within the past 5 years for an adult.
  • All testing instruments must be standardized for use on adults.
  • A school plan such as an IEP or 504 Accommodation Plan is NOT sufficient documentation.  

Documentation must include, but is not limited to, the following:

  • A Neuropsycholgical Evaluation that addresses:  
    • Attention
    • Visuoperception/Visual Reasoning
    • Language
    • Academic Skills
    • Memory/Learning
    • Executive Function
    • Sensory
    • Motor and Emotional status.
    • Data should include standard scores and percentiles.
  • Evidence of current impairment
    • Documentation should discuss history of the individual’s presenting symptoms and evidence of behaviors that significantly impair functioning.
  • Diagnostic interview.  Must contain self-report and third-party information pertaining to:
    • Developmental History
    • Family History
    • Learning or Psychological Difficulties
    • Relevant Medical History
    • Thorough Academic History
  • Evidence that Alternative Diagnoses or Explanations were ruled out:
    • The documentation must investigate and discuss the possibility of dual diagnoses and alternative or coexisting mood, learning, behavioral, and/or personality disorders that may confound the diagnosis.
  • Diagnosis
    • Include a specific statement of diagnosis, as well as the corresponding DSM-IV-TR code.
  • Clinical Summary.  Must address:
    • The substantial limitations to major life activities posed by the disability.
    • A description of the extent to which these limitations would impact the academic context for which accommodations are being requested.
    • Suggestions as to how the specific effects of disability may be accommodated.
    • The rationale behind the suggested accommodations. Any recommendation for an accommodation should be based on objective evidence of a substantial limitation to learning, supported by specific test results and clinical observations. In establishing the rationale for recommended accommodations, test data should be used to document the need.*
  • Additional Requirements
    • Interpretation of test results is required. Test protocol sheets, handwritten summary sheets or scores alone are not sufficient.
    • All reports must be in narrative format, typed, and signed by the diagnosing clinician.  
    • It must include the names, titles, and professional credentials of the evaluators as well as the date(s) of testing.
    • Documentation must be submitted on the official letterhead of the professional diagnosing the disability.

* A history of accommodations does not in itself warrant the provision of similar accommodations at UNA. The final determination of appropriate and reasonable accommodations rests with the decision of the university.

If you have questions or concerns about the documentation, please contact DSS at: