Medical Documentation Guidelines

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Medical documentation for a medical withdrawal must be provided by a licensed health care provider. This provider must have appropriate training and relevant experience with the condition that they are treating. For example, a heart condition can be documented by a medical doctor but not a mental health therapist. Additionally, the provider cannot have a personal relationship with the student that they are treating. Medical documentation should include the name, title, contact information and professional credentials of the licensed healthcare provider. The documentation must also address all of the guidelines below:

  • Statement of the medical/psychological condition and how this condition has impacted the student's ability to complete their courses this semester.
  • Relevant dates of treatment, hospitalizations, surgeries, appointments, etc.
  • The approximate last day the student would have been able to attend class.
  • The health care provider's recommendation that the student medically withdraw.
  • Determination of when the medical/psychological condition will be successfully resolved so that the student can return to functioning effectively in an academic environment. If the prognosis is undetermined, additional documentation can be provided later when the student requests re-enrollment.
  • All medical documentation must be written in English.
  • International Students must comply with United States federal regulations when submitting medical documentation. All medical documentation must be submitted by one of the following U.S.-licensed medical practitioners: U.S.-licensed Medical Doctor (MD); U.S.-licensed Doctor of Osteopathy (DO); or U.S.-licensed Clinical Psychologist (CP).
Medical Withdrawal Forms