Disneylvr said:
I understand the CM's not wanting to see a diagnosis or even a doctor's note because of HIPAA but to not even want a verbal explanation of the medical condition?
First of all, even though people think applies, HIPAA has nothing to do with the CMs not wanting any medical information. HIPAA just applies to Medical Providers - it has to do with Medical Providers sharing information with each other. Basically, it says that people who provide health care can only share information that is necessary for the care of that person (So, I work in a hospital - I can't just look at patient records because I feel like it. I need to have a valid reason to look at the information. If I have a valid reason to look at the chart, I can only share information from that record with someone else who has a vaild reason to know it).
The
patient can share their information with whoever they want. If I am in Taget Pharmacy and want to yell my name and the medications I am picking up at the top of my lungs, I can. If the Pharmacist does the same thing, he/she would be violating HIPAA.
The reason the CMs don't want that information is that they don't need it. Two people can have the very same diagnosis and have very different needs. According to the ADA (Americans with Disabilities Act), accomidations are made based on needs, not on the diagnosis. And, you can't be forced to prove that you have a disability that causes certain needs.
The GAC is actually just a tool to let the CMs know what sorts of accomidations people with disabilities require for their needs.
So, what is important is to be able to state what the needs of the person are. Some conditions have very common needs/problems that most people with that diagnosis have. For example, most people with autism have problems with being in a close situation with other people. Since many people with ASD come to WDW, the CMs at Guest Services are familiar with the common needs of that many people with autism have.
Disneylvr said:
The Passporter for Special Needs book says that there are several medical conditions that qualify a guest for a GAC and that ASD is one of them. They also recommend bringing your child with you to guest services which I plan to do.
The GAC is actually issued to the person with special needs (even if it is a child), so you
do need to bring the person with you. I have heard of one situation where the CMs issued a GAC when the person was just outside of Guest Relations (the CM could see the child, but the parent did not want to bring the child in), but someone coming in to request a GAC without the person would almost always be refused.
Even though it seems like the Passporter book lists several needs (ASD and ADHD are listed) that qualify a guest for a GAC, that's not really how it works (I can see how someone reading that section in the Passporter book would assume there are "qualifying conditions".)
There is no "list" of medical conditions that "qualify" a guest for a GAC. It's all based on needs. Even talking about ASD, there are some guest whose needs would really make a GAC appropriate and some with ASD who would not need a GAC.
I'm not a fan of the form letters because, they are just that, form letters. They are not usually personal. I'm sure that if the CMs at Guest Services did look at them, they would see 100 a week that are exactly the same except for the name of the guest and the name of the doctor.
ASD is common enough that most of the Guest Services CMs would be able to guess the common needs, but most of the form letters don't really give much information. I have seen people show the form letter and be asked what the child's needs were (the parent was getting frustrated because they just pointed to the letter; the CM was getting frustrated because the form letter gave very general information and didn't really tell what
that particular person needed). And, I have heard of people getting turned down for a GAC, even with a letter from their doctor because the letter just stated a diagnosis and asked for "all possible consideration", but the parents could not give information about what their child's needs were.
I do know that some people feel more confident asking for a GAC if they had a letter. Be prepared though that most of the time, the CM will not want to see it and even if they do, may ask some questions about the needs.
As for what park to ask at, we have gotten GACs for our DD at all the parks on various trips. No particular park was better or worse - although MK is very busy and there once we actually were given someone else's GAC - with their name on it. We didn't notice until presented it to the first CM and found out it was for using a stroller as a wheelchair (which we didn't need, since DD was about 15 at the time and using a wheelchair).
So, one of my hints is to look the GAC over and ask any questions about it before you leave Guest Relations.
If you haven't already read it, there is a section about GACs in the disABILITIES FAQs thread near the top of the board.