Get University Of St. Augustine Reasonable Accommodation Request Form 2019-2025

The University Of St. Augustine for Health Sciences offers a Reasonable Accommodation Request Form to assist students with disabilities in obtaining necessary accommodations. This guide provides comprehensive instructions to help you fill out the form accurately and efficiently, ensuring you receive the support you need.

Follow the steps to successfully complete the form online.

1. Click the ‘Get Form’ button to access the Reasonable Accommodation Request Form and open it in your preferred editor.
2. Begin by providing your basic information in the designated fields. Enter your full name, date, student ID, and program of study. Additionally, indicate your campus location, cohort color if applicable, and enrollment term and year. Ensure to provide a contact phone number and your USAHS email.
3. Select the type of disability affecting you by checking the appropriate box off of the options provided: physical, psychological, learning disability, vision, hearing, or systemic. Then, check the activities that you believe are impacted by your condition.
4. Indicate whether you are requesting first-time accommodations, accommodations after a leave of absence, or an update to accommodations. If you have previously used accommodations at another institution, please provide that information.
5. Specify if you are requesting accommodations for the academic portion of your program and complete the corresponding section if yes. If your program includes a clinical component, indicate if you need accommodations for that as well.
6. Describe in detail how your diagnosed condition currently impacts your functioning within the university environment, detailing how the impairment affects essential program functions. Also, state the specific accommodations you are requesting and articulate how these will assist you.
7. Acknowledge agreements by initialing each statement regarding your understanding of communication and documentation policies between the Disability Services staff and university personnel.
8. Complete the section for clinical education accommodation requests if applicable, indicating any approved accommodations for non-clinical components and specifying your requests for clinical placements.
9. The medical provider must complete the second part of the form or provide documentation on official letterhead. This includes their credentials, diagnosis, treatment information, and how it impacts major life activities.
10. Finalize your submission by reviewing all entries for accuracy, then save your changes. You may choose to download, print, or share the form as needed.

Start filling out your Reasonable Accommodation Request Form online today to ensure your needs are addressed promptly.