Apply for a medical withdrawal from the University

Apply for a medical withdrawal from the University

Requestor Information

STOP! Sign in with your UD username and password
Before continuing, click the link below and sign in with your UD username and password.

Student Information

Provide the semester and year (eg; Fall 2020).

Withdrawal Information

Note: If you select to not meet with OLR staff, a decision will be made based only on the information we have on file.
Note: If you choose to not provide documentation, a decision will be made based only on the information we have on file.
Describe the medical issue you are experiencing and how this is impacting your ability to address academic work (class attendance, studying, and testing) and residential experiences.
Remember, OLR must receive formal documentation from your treating provider before we can evaluate this request.
Example:
Class 1: Astronomy 101, last attended on <Date>, <Reason>

Other Fields

Your name
Verification Code