Diagnosis and tests listed in the Social Security Administration's childhood "Listing of Impairments" for children (Part B) |
Medical history of the child for the previous 12 months |
Complete, detailed, clinical findings (eg, results of physical, intelligence, developmental, and mental status examinations) |
Complete, detailed laboratory findings (eg, blood pressure, radiographs) |
Specific diagnosis (statement of disease or injury based upon signs and symptoms) |
Review of treatment(s) prescribed and description of response and prognosis |
The probable duration of the impairment |
An assessment of the child's physical or mental abilities to function independently, appropriately, and effectively in an age-appropriate manner and to perform age-appropriate daily activities |
The nature and limiting effects of the impairment(s) on the child's ability to function independently, appropriately, and effectively in an age-appropriate manner and to perform age-appropriate daily activities |
School documents, reports, or information indicating the child's need for special education services and deviations from age-appropriate performance in the school setting |
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