Request a medical withdrawal from the University

Request a medical withdrawal from the University

Student Information

Student found in person lookup above?
Student found in person lookup above?
Provide the semester and year (eg; Fall 2020).

Withdrawal Information

Use 2-letter and 4-digit for term (e.g. SP2022)
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.
Please 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