Accessiblity Services Initial Contact Form

* indicates required field
Student ID *
You must include all 8 digits of your StudentID including the leading zeros.
Full Name *
(First, Middle and Last Name)
E-mail address *
Phone Number
Student Status
Check all that apply.
  1. I understand the steps required for requesting accessiblity services
  2. I have contacted my high school, healthcare provider, rehabilitation counselor, or other qualified professional for documentation of my disability
  3. My documentation was submitted to Accessibility Services
  4. I have scheduled my Intake Appointment
  5. I will contact Accessibility Services, if I need accommodations