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CNT Course Disability Accommodation Documentation Upload Form

CCAHM is committed to access and inclusion in its program and services as part of a broad effort to encourage the admission and retention of students with disabilities in accredited acupuncture and herbal medicine programs. Students are encouraged to access all the resources available to them, including applying for disability accommodations.

To be eligible for accommodations, a student must have a documented disability as defined by the Americans with Disabilities Act (under the ADA or ADAAA). Early communication is critical to successful implementation of effective and timely accommodations. Accommodations cannot be provided retroactively; therefore, we strongly advise applying for accommodations 3 to 4 weeks before your anticipated/scheduled testing date.

Reasonable accommodations are determined as part of a holistic evaluation of submitted documentation, any history of accommodations, and the CNT program requirements.

To request disability accommodations:

Step 1: Register for the Online CNT Course and written exam 

Step 2: If after reviewing the Course Overview, Minimum Technical Requirements, Policies and Procedures, and CNT Course FAQs, you determine that you require accommodations to fully participate in the Clean Needle Technique online course modules and/or exams, please complete the form below. This includes uploading supporting documentation.

NOTE: Incomplete forms that do not adequately communicate the need for accommodations may result in delayed examination dates when additional information is requested. The candidate is responsible for rescheduling an examination date (and any associated fees) in the case of short-notice accommodation requests.

Step 3: As part of the interactive process, once your documentation has been received, it will be assessed by an external ADA Compliance Consultant in a timely manner. Recommendations for approved accommodations will be provided to CCAHM. Please allow 4-6 weeks for processing after submitting your accommodations request.  Note that candidates must 1) be registered and approved to take the Online CNT Course and examinations and 2) have reviewed and agree to the aforementioned policies and documents in Step 2 before requests for accommodations will be reviewed.
Step 4: You will receive an email from CCAHM outlining your approved accommodations and any request for additional information.

Step 4: You will receive an email from CCAHM outlining your approved accommodations and any request for additional information.


Please contact CCAHM if you require accommodations as part of applying for disability accommodations or have additional questions regarding application requirements. CCAHM understands the collaborative and ongoing nature of providing access and welcomes feedback on your experience in the accommodation process.


Required field(s) are indicated by an *.

Requested Accommodations:

Please check all that apply and provide an explanation/additional information detailing your specific needs. 

 
(e.g. "50% additional time")
 
(any disability-related item needed in the exam room; subject to visual inspection by proctor)
 
(e.g. “reading questions out loud during the written examination”)
 
(e.g. alternative CNT Manual format, use of a Reader during an examination, etc.)
 
(list any technology or software needed to complete the course and/or exams)
 
(list any additional requested accommodations not mentioned above)

Additional Information: 

1) Explain the nature of your disability and why you are requesting accommodations for the CNT course or examinations. Include information about the severity and duration of your disability.
2) How does your disability affect you in your current educational program and in daily life? What impact does your disability have on a major life activity?
3) Outline your history of accommodations throughout your education and on standardized tests (K-12 through graduate school). If you have little or no history of prior accommodations, why are accommodations now necessary to obtain CNT certification? Please list any strategies or informal arrangements you used to mitigate disability-related barriers in the past (prior to formal diagnosis or treatment).
4) How do accommodations minimize the effects of your condition during examinations or in academic courses?
5) Provide a rationale for each requested accommodation and explain how it is connected to a functional limitation you experience as part of your disability.

Disability Resource Professional:

Please provide the following information for the Disability Resource Professional at your associated institution, if applicable. 

Additional Documentation:

 Please use the fields below to upload additional supporting documentation. Examples of documentation include, but are not limited to:

1. Student self-report of how their disability impacts them, their perceived need for accommodations, and their functional limitations in the academic environment
2. Educational records of prior accommodations
3. Proof of accommodations on previous standardized exams (ACT, SAT, licensing exams, etc.)
4. Statement on letterhead from a healthcare professional or licensed provider outlining a diagnosis or the impact of a disability
5. Medical records, evaluations, or diagnostic reports

 NOTICE:

By submitting a request for disability accommodations on the CNT course or examinations, I (the CNT candidate) attest that the provided information is current and accurate to the best of my knowledge.

CCAHM is committed to the interactive process and will first communicate with me in an attempt to complete the formal assessment. In cases where additional information regarding my accommodations request and disability status is necessary, I authorize representatives on behalf of CCAHM to contact any professional or administrator named in my submitted documentation. I give permission for those individuals to provide CCAHM with information or documentation pertinent to my disability accommodations request. 

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