 | Name and credentials of the evaluator. |
 | Where and when the students was seen and for what purpose. |
 | A summary of the diagnostic overview. |
 | A description of the evaluation method, e.g., tests performed, procedures used, etc. |
 | The results or findings of the evaluation, e.g., test scores, or clinically significant observations of the evaluator. |
 | A specific ICD-9-CD or DSM-IV diagnosis (when appropriate). |
 | A description of the student’s current level of functioning and any substantial physical, psychological, or emotional limitations associated with the impairment underlying the diagnosis. |
 | Any relevant history. |
 | Prognosis. |
| A description of the effect of the disability in an educational setting by explaining the rationale for suggested accommodations linked directly to the disability, including the functional limitations presented. |
| Recommendations for accommodations. |