Access And Support Centre Medical Form
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4Access and Support Centre
Dear Health Care Professional:
A patient of yours is enrolled in a program at Durham College and has requested accommodations
and/or supports from the Access and Support Centre.
In order to receive accommodation and support, students who have a medical diagnosis that may
impact their academic participation must provide sufficient current documentation to verify the
diagnosis, and the specific impact of the diagnosis on academic performance. Documentation must
come from a practitioner who is certified in the specific area(s) of the student’s diagnosis.
All
documentation must be dated within the last 12 months unless otherwise stated.
Please find attached our Medical Form which we are requesting you complete on behalf of the student.
If you have any questions or concerns regarding this request, please contact our office and we would
be happy to assist.
Thank you in advance for your time and support.
Access and Support Centre
Durham College
2000 Simcoe Street North
Oshawa, ON
L1H 7K4
T: 905-721-2000 ext. 3123
F: 905-721-3224
asc@durhamcollege.ca
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Parent category: Medical