Streamline Special Education Eligibility with Paperform

Determining eligibility for Other Health Impairment (OHI) services requires careful documentation of chronic health conditions and their impact on educational performance. This Other Health Impairment Eligibility Form template helps schools, districts, and special education coordinators gather comprehensive medical and educational information for students with conditions like diabetes, epilepsy, asthma, ADHD, heart conditions, and other chronic or acute health problems.

Why this form matters for special education teams

Under IDEA (Individuals with Disabilities Education Act), students with health impairments that limit strength, vitality, or alertness—and adversely affect educational performance—may qualify for specialized instruction and accommodations. This template guides you through collecting:

• Student demographic and school information
• Detailed health condition documentation from medical providers
• Medical management plan requirements for school staff
• Educational impact assessment across academic, social, and behavioral domains
• Current interventions and accommodations already in place
• Parent/guardian input on daily functioning and needs

By digitizing this process with Paperform, you eliminate scattered paperwork, reduce processing time, and create a clear audit trail for compliance. Conditional logic ensures you only collect relevant information based on the specific condition, making the form easier for parents and medical professionals to complete.

Built for education workflows

Use this form as part of your Child Find and evaluation process, feeding directly into IEP development and 504 plan consideration. With Paperform's integrations, you can automatically route submissions to your student information system, notify evaluation teams via email or Slack, and store documentation securely in Google Drive or your district's document management system.

For districts managing multiple schools or evaluation timelines, Stepper can automate follow-up reminders to parents for missing medical documentation, trigger evaluation team meetings when forms are complete, and keep administrators informed of eligibility determination deadlines—ensuring no student falls through the cracks.

This template is designed for special education directors, school psychologists, nurses, 504 coordinators, and evaluation teams who need a professional, compliant way to document OHI eligibility. Get started with Paperform today and transform your special education intake process.