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Susquehanna University
Request for Medical Withdrawal or Course Reduction for Medical Reasons
A medical withdrawal is a complete withdrawal from all courses. The university
tuition refund policy applies
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How to fill out request for medical withdrawal

How to fill out a request for medical withdrawal:
01
Begin by gathering all necessary documents and information. This may include medical records, doctor's notes, and any other supporting documentation relating to your medical condition.
02
Write a formal letter addressed to the appropriate authority or office responsible for handling medical withdrawals. Make sure to include your personal information, such as your full name, student ID number, and contact details.
03
Start the letter with a concise and clear introduction, stating the purpose of your request for medical withdrawal. Explain that you are experiencing medical issues that inhibit your ability to continue with your studies.
04
Provide a detailed description of your medical condition, including any pertinent medical history, diagnoses, and treatment plans. It is essential to include specific dates and relevant medical information to support your request.
05
Clearly state the semester or academic term for which you are requesting the medical withdrawal. Specify the courses or program of study that will be affected by your withdrawal.
06
Describe how your medical condition has impacted your ability to meet academic requirements or attend classes regularly. Provide specific examples to emphasize the severity of your situation.
07
State your intention to resume your studies once your medical condition improves or stabilizes. If possible, provide an estimated timeline for your recovery.
08
Express gratitude for their understanding and consideration of your request. Thank them in advance for any accommodations they may provide during the evaluation process or upon approval of your request.
Who needs a request for medical withdrawal?
01
Students who are facing significant medical issues that prevent them from continuing their studies may need to submit a request for medical withdrawal. This applies to both undergraduate and graduate students.
02
Individuals who have been diagnosed with a physical or mental health condition that hinders their ability to attend classes, complete assignments, or meet academic requirements may require a medical withdrawal.
03
Students who have experienced a sudden medical emergency or significant worsening of a pre-existing medical condition may also need to request a medical withdrawal.
Please note that specific policies and procedures for requesting a medical withdrawal may vary depending on the educational institution. It is crucial to consult the institution's guidelines or reach out to the appropriate office for accurate information and instructions.
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What is request for medical withdrawal?
A request for medical withdrawal is a formal request made by a student to withdraw from classes due to medical reasons.
Who is required to file request for medical withdrawal?
Any student who is experiencing medical issues that prevent them from continuing their coursework is required to file a request for medical withdrawal.
How to fill out request for medical withdrawal?
To fill out a request for medical withdrawal, students typically need to provide documentation from a healthcare provider detailing their medical condition and how it impacts their ability to continue with their studies.
What is the purpose of request for medical withdrawal?
The purpose of a request for medical withdrawal is to officially withdraw from classes due to medical reasons without academic penalty.
What information must be reported on request for medical withdrawal?
Information that must be reported on a request for medical withdrawal typically includes the student's name, student ID, contact information, reason for withdrawal, supporting documentation from a healthcare provider, and any other relevant information.
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