Requests for Medical, Military, or Disability-Related Accommodations
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After you have filled out a form, be sure to SAVE it to your computer. Please submit forms to CampusAccess@newhaven.edu as an attachment.
1. Campus Access Services Intake Packet: to be submitted with appropriate documentation, see Documentation Guidelines
A. CAS Intake Form: filled out once when first registering with CAS
B. Additional Forms to assist you with registering with CAS:
To release information from your appropriate diagnosing professional to CAS: to be submitted to appropriate diagnosing professional
Documentation of ADD/ADHD (must be current within the past 3-5 years):
- Documentation of a Psychiatric/Emotional Disorder (must be current within the past 3-6 months):
2. Modifications to Housing/Dining Packet: (all forms must be completed for request to be heard by the Committee)
- Please review Modifications to Housing/Dining Policy before completing these forms and submitting your documentation.
- Intake Form for Modified Housing/Dining [ PDF Format | Word Format ] - not required if a CAS Intake form is already on file
- Request for Modifications to Housing/Dining Options (student information) [ Word Format ]
- Request for Modifications to Housing/Dining Options (professional information) [ PDF Format | Word Format ] - MUST be completed by appropriate professional
- Modified Dining Options Meeting Form [ PDF Format | Word Format ] - must be completed if requesting modifications to dining options
- Release for ADA/504 Review Committee [ PDF Format | Word Format ]
3. Temporary Medical Conditions:
- Please see Policy on Temporary Medical Conditions prior to completing this form and submitting your documentation.
- Temporary Medical Conditions Intake Form [ PDF Format | Word Format ] - to be submitted with appropriate documentation, see Documentation Guidelines
4. Personal Care Attendant Agreement:
- Please see the Policy on Personal Care Attendants prior to completing this form.
- Personal care Attendant Agreement and ID Request [ PDF Format | Word Format ]
5. Request for Course Substitution:
- Please see the Policy for Course Substitution
- Request for Course Substitution [ PDF Format | Word Format ]