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Withdrawal UniversityofSouthernIndiana RegistrarsOffice Recenter,Rm1075Email:registrars.edu Phone:8124641762Fax:8124641911STUDENTSDONOTWRITEINTHISAREA Percentageofrefund ProcessedbyDateCheckedbyDateStudentsprogramUsethisformifyouaredroppingallcoursesforthesemester/term StudentIDNumber:000___Name(Last,
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01
Obtain the medical withdrawal form from the university's registrar office.
02
Fill out personal information including name, student ID number, and contact information.
03
Provide details on the medical condition such as diagnosis, treatment plan, and expected recovery time.
04
Attach any relevant supporting documents from healthcare provider such as doctor's note or medical records.
05
Submit the completed form to the appropriate department or office for processing.

Who needs medical withdrawal - university?

01
Students who are experiencing severe medical issues that prevent them from continuing their studies at the university.
02
Students who have a chronic illness or injury that requires ongoing medical treatment and affects their ability to attend classes.
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Medical withdrawal from university is the process by which a student can officially withdraw from classes due to medical reasons.
Any student who is experiencing medical issues that are impacting their ability to attend classes and complete coursework may be required to file for medical withdrawal.
To fill out a medical withdrawal form, students typically need to provide documentation from a medical professional outlining the reasons for withdrawal.
The purpose of medical withdrawal from university is to ensure that students are able to prioritize their health and well-being while still maintaining their academic standing.
Information such as the student's name, student ID number, the specific medical reasons for withdrawal, and any documentation from healthcare providers may need to be reported on a medical withdrawal form.
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