Certificate Of Mailing For The Petition For Appointment Of Guardians - New York University

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NYUStudentHealthCenter
Certification of Readiness to Return to School
from Medical Leave of Absence
GOING ON LEAVE
1)
Schedule an interview with ___________________________________. This evaluation will be passed along
to your school as part of the decision whether to place you on medical leave.
2)
After the evaluation, make an appointment with _______________________________, who will confirm
whether you’ve been placed on leave and, if so, handle paperwork, explain about refunds, and answer other
questions.
3)
If you live on campus, talk to the Residence Hall Director of your building about leaving your room and getting
a refund.
4)
To find out if you still will have NYU-CHP insurance coverage, you may call (212) 443-1020.
RETURNING FROM LEAVE
1)
If you are placed on voluntary medical leave, it is expected that you leave school for a full semester or the
equivalent in months (4 months). Except in very rare circumstances, one or two months is not enough time to
be on leave.
2)
If you are placed on an involuntary medical leave, it is required that you be on leave from school for the
remainder of the semester during which the leave was mandated AND the following full semester.
3)
You must pursue and be engaged in appropriate treatment for the duration of your time on leave from NYU.
4)
One month before you wish to return to school (December for the spring term; May for the summer; August for
the fall), ask your therapist to fill out in its entirety the Certificate of Readiness to Return to School form. Fax
(212-995-4096) or address the letter to:
_____________________________________ (Your CWS Evaluator)
NYU Student Health Center
Counseling and Wellness Services
726 Broadway, Suite 471
New York, NY 10003
5)
Also, one month before you wish to return to school, call 212-998-4780 to schedule a Return from Medical
Leave interview with ___________________________________. You must fax or mail the completed
Certificate of Readiness to the office prior to the scheduled interview time.
6)
Based on your therapist’s letter and the Counseling and Wellness Services interview, CWS will make a
recommendation to the school about your readiness to return. The school dean will then inform you of the
final decision.
7)
In case your request to return from medical leave is denied, you are eligible to reapply for return from leave
the next semester, following the same steps #3-6.
8)
If you wish to extend your medical leave, contact ________________________________ from your school.
NYUStudentHealthCenter | Counseling and Wellness Services
726 Broadway, Suite 471 • New York, NY 10003 • 212-998-4780 •
07/12

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