College students living with disabilities must disclose, manage, share, and communicate their personal health information in order to receive academic accommodations. The academic gatekeepers to this process are disability services specialists who are important “third parties:” non-family members, non-friends, who work with clinical information to meet the educational needs of their student clients. The author reports the results of the first of several studies of different stakeholders in the academic accommodations process and their attitudes about Personal health records (PHRs). Semistructured interviews were conducted between January and April, 2013, with 17 Disabilities Services (DS) specialists at 2 different public 4-year universities. This paper focuses specifically on DS staff reports about clinical document types encountered, the role of a single document as gatekeeper and verification of disability status, and the issues that documentation presents for the academic accommodations process.

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