Medical Alert Notification and Request Form
This form is designed for applicants with medical conditions requiring special accommodations during the bar examination. It collects essential information about medical equipment or food needs, ensuring candidates receive the necessary support. Complete and submit this form to notify the Pennsylvania Board of Law Examiners of any special requirements.
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How do I fill this out?
To fill out this form, start by providing your personal information including your name and phone numbers. Next, describe your medical condition and the specific equipment or food you may need during the examination. Finally, ensure to attach documentation from your medical professional verifying your needs.
How to fill out the Medical Alert Notification and Request Form?
1
Provide your personal information, including name and phone numbers.
2
Describe your medical condition along with necessary equipment or food.
3
Attach documentation from your medical professional verifying your condition.
4
Indicate any specific seating preferences required due to your condition.
5
Submit the completed form to the Pennsylvania Board of Law Examiners.
Who needs the Medical Alert Notification and Request Form?
1
Applicants with diabetes must indicate their need for an insulin pump.
2
Candidates with mobility issues may require a wheelchair or crutches.
3
Individuals with pregnancy-related needs may need special seating.
4
Test-takers with allergies should specify their required food accommodations.
5
Persons requiring hearing aids must report their specific needs.
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2
Click on the edit button to access the text fields.
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Insert or modify the information as needed.
4
Once all edits are complete, review the document for accuracy.
5
Download the edited file to your device for submission.
What are the instructions for submitting this form?
To submit this form, email it to the Pennsylvania Board of Law Examiners at the provided email address or fax it to (717) 231-3351. Alternatively, you can mail the completed form to the board office at 601 Commonwealth Avenue, Suite 3600, P.O. Box 62535, Harrisburg, PA 17106-2535. It is advisable to keep a copy for your records.
What are the important dates for this form in 2024 and 2025?
Currently, there are no specific dates provided for the submission of this form. It's crucial to check with the Pennsylvania Board of Law Examiners for any upcoming deadlines, especially in preparation for the bar examination in 2024 or 2025.
What is the purpose of this form?
The purpose of the Medical Alert Notification and Request Form is to ensure that applicants requiring special accommodations during their bar exam can secure necessary support. This form facilitates communication between the applicants and the Pennsylvania Board of Law Examiners regarding medical needs. By completing this form, candidates can provide the board with essential information to assist in creating a conducive testing environment.
Tell me about this form and its components and fields line-by-line.
- 1. Name: Your full name.
- 2. Telephone No. (Home): Your home contact number.
- 3. Telephone No. (Work): Your work contact number.
- 4. Nature of the condition: Description of your medical condition.
- 5. Medical Professional: Name of your medical provider.
- 6. Telephone No. of Medical Professional: Contact number of your medical provider.
- 7. Equipment/food requests: List any necessary equipment or food.
- 8. Emergency contact information: Emergency contact details.
- 9. Seating preference: Mention any seating preferences needed.
What happens if I fail to submit this form?
If you fail to submit this form, you may not receive the necessary accommodations during the bar examination. This can impact your ability to perform to the best of your abilities. It's crucial to submit all required documentation to ensure your needs are met.
- Impact on Exam Performance: Failure to submit may affect your testing experience, making it difficult to concentrate.
- Lack of Accommodations: Without a submitted form, your medical needs may not be addressed.
- Missed Deadlines: Not submitting could lead to missing important deadlines set by the board.
How do I know when to use this form?
- 1. Medical Equipment Needs: When you need to use medical equipment like wheelchairs or insulin pumps during the exam.
- 2. Food Requirements: If you require specific food due to your medical condition.
- 3. Special Seating: When you need a specific seating arrangement due to your condition.
- 4. Emergency Preparedness: To ensure emergency contacts are notified if necessary.
- 5. Notification of Medical Conditions: For informing the board of any other ongoing medical issues.
Frequently Asked Questions
Who should fill out this form?
Any applicant with a medical condition requiring accommodations during the bar exam should complete this form.
What information do I need to provide?
You need to provide personal details, information about your medical condition, and any equipment or food requests.
How do I submit the completed form?
You can submit the form via email, fax, or postal mail to the Pennsylvania Board of Law Examiners.
Can I edit the PDF after downloading?
Yes, you can edit the PDF on PrintFriendly before downloading to ensure all information is correct.
How is my information kept private?
Only authorized personnel will have access to your submitted information.
What if I forget to fill out a section?
Ensure to review the form thoroughly before submission to avoid missing details.
Is there a deadline for submission?
Check with the Pennsylvania Board for any deadlines associated with this form.
Can I attach additional documents?
Yes, you can attach supporting documentation from your medical provider.
What if my condition changes?
Notify the Pennsylvania Board immediately if your needs change.
Is there a charge for this service?
No, filling out this form and using PrintFriendly’s editing features is free.
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