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Academic Relief Guidelines and Request Forms for Schiffert Health Center, Study notes of Medical Records

The procedures and requirements for students seeking academic relief due to medical issues at the schiffert health center. It includes forms for requesting academic relief, instructions for filling them out, and information about the types of academic relief available. Students must provide thorough and complete medical documentation to support their request.

What you will learn

  • What actions can the Dean take if a student qualifies for academic relief?
  • What documentation is required to support a request for academic relief?
  • What types of medical issues qualify for academic relief?

Typology: Study notes

2021/2022

Uploaded on 09/12/2022

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Schiffert Health Center
Academic Relief Guidelines
___________________________________________________________________
REQUESTS FOR ACADEMIC RELIEF
PLEASE READ CAREFULLY
The Medical Review Advisory Committee reviews requests for academic relief. For Course Drops: “W” grades WILL
NOT be considered.
Students must have documentation showing a significant medical problem that substantially interfered with their
ability to meet their academic responsibilities. Only the Dean has the final authority in granting academic relief.
Once an academic relief recommendation has been made during a semester, additional recommendations will not
be considered unless a newly documented illness has occurred.
Extended illness with evidence of medical treatment on or off campus, essential surgery, periods of hospitalization
for medical treatment, injuries requiring extended treatment with related treatment by a physician may qualify for
a recommendation for academic relief.
It is understood that students may be involved in many situations that are stressful and distracting that interfere
with studying and other academic responsibilities. However, it is not within the authority of the committee to make
recommendations for academic relief based on extenuating circumstances (i.e. death of a family member or their
illness) which may or may not be beyond the student's control.
In most circumstances, recommendations for retroactive course drops or withdrawals are not considered. For
circumstances where the student was hospitalized or otherwise disabled at the time when this decision would have
been made, the student's case will be reviewed at the request of their Academic Dean. Retroactive requests WILL
NOT be considered beyond the past calendar year. Thorough and complete medical documentation will be
required.
If the student qualifies for academic relief, a recommendation letter will be written to the student's Dean. The
committee may offer suggestions as to what action the Dean might take such as dropping a course, being allowed to
take incompletes, delaying exams or in some cases withdrawing from school for medical reasons. Withdrawal from the
University for medical reasons requires a hold on readmission until the student provides a letter of recommendation
from the treating professional supporting the student's return to the University.
The committee will review your medical record at the Schiffert Health Center. Other documentation from off campus
physicians should be provided to the committee for consideration prior to the committee meeting. You may be
contacted by the committee to clarify information in your request or to consider other alternatives. Notification will be
sent by email to the student of the committee's decision. Students must pick up letters of recommendation and submit
it to their Dean for processing
Revised 1/19
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Academic Relief Guidelines

___________________________________________________________________

REQUESTS FOR ACADEMIC RELIEF

PLEASE READ CAREFULLY

  • The Medical Review Advisory Committee reviews requests for academic relief. For Course Drops: “W” grades WILL NOT be considered.
  • Students must have documentation showing a significant medical problem that substantially interfered with their ability to meet their academic responsibilities. Only the Dean has the final authority in granting academic relief.
  • Once an academic relief recommendation has been made during a semester, additional recommendations will not be considered unless a newly documented illness has occurred.
  • Extended illness with evidence of medical treatment on or off campus, essential surgery, periods of hospitalization for medical treatment, injuries requiring extended treatment with related treatment by a physician may qualify for a recommendation for academic relief.
  • It is understood that students may be involved in many situations that are stressful and distracting that interfere with studying and other academic responsibilities. However, it is not within the authority of the committee to make recommendations for academic relief based on extenuating circumstances (i.e. death of a family member or their illness) which may or may not be beyond the student's control.
  • In most circumstances, recommendations for retroactive course drops or withdrawals are not considered. For circumstances where the student was hospitalized or otherwise disabled at the time when this decision would have been made, the student's case will be reviewed at the request of their Academic Dean. Retroactive requests WILL NOT be considered beyond the past calendar year. Thorough and complete medical documentation will be required. If the student qualifies for academic relief, a recommendation letter will be written to the student's Dean. The committee may offer suggestions as to what action the Dean might take such as dropping a course, being allowed to take incompletes, delaying exams or in some cases withdrawing from school for medical reasons. Withdrawal from the University for medical reasons requires a hold on readmission until the student provides a letter of recommendation from the treating professional supporting the student's return to the University. The committee will review your medical record at the Schiffert Health Center. Other documentation from off campus physicians should be provided to the committee for consideration prior to the committee meeting. You may be contacted by the committee to clarify information in your request or to consider other alternatives. Notification will be sent by email to the student of the committee's decision. Students must pick up letters of recommendation and submit it to their Dean for processing Revised 1/

Academic Advisement Form

This form should be returned to Room 122A (Medical Records) McComas Hall.
COLLEGE: _____________________________________________ Date: ____________________________

Name: ___ ID#: _____________________________ Address: _____________________________________ Telephone#:______________________________ _____________________________________ Email: ___________________________________ Specify semester for requested academic relief: ______________________________________________________ I am requesting the following academic relief through the Medical Review Advisory Committee: ___ Medical Withdrawal ___ Additional Probationary Semester ___ Other _____________________________________________________________________________________ ___ Course Drops ( W grades will NOT be considered )/Incompletes (List Course, Number and CRN number – i.e. Math 1526 – 13243) Course Drops: ___________________________________ Incompletes: _________________________




I understand that the Medical Review Advisory Committee will keep all personal/medical information confidential and that it will not be shared or discussed with academic officials.


Student Signature Date **I have reviewed the student’s request and have the following comments regarding their academics:




Academic Dean Signature Date** If you are an Undergraduate International Student you must obtain a signature from The Cranwell Center. If you are a Graduate International Student you need to obtain a signature from an international advisor at the Graduate School.


Signature Date CC: Dean Revised 1/

Academic Relief Request Form

This form should be returned to Room 122A (Medical Records) McComas Hall.
  1. What strategies did you use to resolve the problem? (i.e. Workshops, study groups, etc.)



  1. What are you doing now to improve your academic success?



  1. What are your academic goals and how do you plan to meet them?



  1. What type of academic relief are you requesting? (Check all that apply.) __ Medical Withdrawals ( Medical withdrawals require a hold of re-admission pending evidence of treatment.) __ Incompletes ( Incompletes must be approved by your instructor and requests for an incomplete must be made prior to the last day of classes for the semester in which the class is being taken). __ Course drops __ Additional Probationary Semester Please specify course, number and CRN number for course drops and incompletes: (ex. MATH 1526 13243)


I have read and understand the guidelines. I grant permission to the Schiffert Health Center Medical Review Advisory Committee to contact me to clarify my request for academic relief and to review my Schiffert Health Center Medical Records and Services for Students with Disabilities Records. Signature ________________________________________________ Date: __________________________ Approved 8/29/06; Revised 1/25/