Support for Students with Temporary Physical/Medical Conditions - Directions and Forms for SSD Coordinator and Doctor Confirmation

Oct 10, 2026

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Request testing support for students with temporary physical/medical impairments (e.g., injury or accident) that prevent postponing tests. The form is for state-provided SAT, PSAT 10, and PSAT 8/9 requests only. SSD coordinators must complete Part 1, provide copies to students, collect parent/student signatures in Part 2, and obtain doctor confirmation plus required attachments in Part 3. Submission timing, expedited processing, and authorization rules are emphasized, including concussion documentation.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages4

Reading Time10 min

AccessFree to download

Who Should Use This Form?

Directions for SSD Coordinator (or other appropriate school official)

Time Frame

PART 1: To Be Completed by School Official

PART 2: Student and Parent/Guardian Signatures

PART 3: Doctor’s Confirmation

Support for Students with Temporary Physical/Medical Conditions Who Should Use This Form? This form should be used only to request testing support for students with temporary impairments (caused by injury, accident, etc. ) who cannot postpone their tests. Use for state provided SAT, PSAT 10, and PSAT 8/9 requests only. Students seeking testing supports for impairments that are not temporary must use SSD Online or complete the CollegeBoard’s Student Eligibility Form to receive approval for testing accommodations. Important: If a student uses extended testing time or any other testing support without first receiving written authorization from the College Board’s SSD office, that student’s test score(s) will not be reported. Directions for SSD Coordinator (or other appropriate school official) 1. Complete Part 1. You will need information from the student’s doctor and teachers. 2. Enter your school code on all pages. 3. Give the student a copy of this form. The student must obtain written confirmation from his/her doctor regarding the needed supports. Remind the student that the doctor must provide information pertaining to all items in Part 3 and that the student and parent or guardian must sign Part 2. The student should return the signed form and documentation to you. 4. Collect a completed Teacher’s Survey Form (Part 4) from the student’s teacher(s) . If the student is taking an AP Exam, collect a Teacher’s Survey from each of the AP teachers in whose subject the student is taking an AP Exam. For the SAT, include a Teacher’s Survey from the student’s core teachers. (Teachers may respond on a separate sheet as long as it contains all information requested in Part 4, including the student’s name. ) 5. Depending on the student’s physical/medical condition, additional documentation may be needed. Note: If the student is requesting testing assistance for a concussion or head injury, copies of medical evaluation(s) and testing (e.g., ImPACT testing or neuropsychological evaluation) must be included. 6. Fax the completed request form along with any attachments to (973) 735‐1900. If you are unable to fax, mail the request form and documents to: College Board Services for Students with Disabilities ‐ Temporary Supports Educational Testing Service 1425 Lower Ferry Road Ewing, NJ 08618 Time Frame Submit this form and documentation as soon as the temporary impairment has been medically verified. The College Board will expedite processing of temporary support forms. However, an appropriate review and determination cannot occur instantaneously. Individuals who submit requests or information shortly before a scheduled College Board test should be prepared to be informed that there was insufficient time to make a determination on their request. The College Board will reply by email or fax as soon as possible. Support for Students with Temporary Physical/Medical Conditions PART 1: To Be Completed by School Official Student Name: Date of Birth: Expected Date of Graduation (month/year): School Code: If you don’t know your school’s code, look it up at [http://sat.collegeboard.org/register/sat-code-search](http://sat.collegeboard.org/register/sat-code-search). School Name: City: State: Specify the tests(s) and date(s) for which the student needs support (state-provided SAT, PSAT 10, or PSAT 8/9): Exam Name: Exam Date: Exam Name: Exam Date: Describe the specific support requested: Describe the injury/medical condition, including date of onset: Name of school official completing form: Title: Telephone: Fax: Email: What is the best way to contact you? Telephone Fax Email Signature of School Official: Date: PART 2: Student and Parent/Guardian Signatures Agreement below must be signed by the student and, if the student is under 18, the student’s parent/guardian before the request can be processed. I wish to request support on College Board test(s) for a

FAQs

Who is eligible to use this form for testing support?

Students with temporary physical/medical impairments caused by injury or accident who cannot postpone their tests. The form applies to state-provided SAT, PSAT 10, and PSAT 8/9 requests only.

What happens if testing supports are used without written authorization from the College Board’s SSD office?

Scores for the student will not be reported if extended time or other supports are used before receiving written authorization.

What must the doctor include in the confirmation letter?

A response covering injury description and impairment level, date of injury/onset, expected date of recovery, and additional details required for cast/device cases or concussion/head injury documentation, including medical evaluations and completed testing results.

Oct 10, 2026

Upload by moss~