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CONFIDENTIAL DISABILITY RESOURCE OFFICE
 

Summary: CONFIDENTIAL
DISABILITY RESOURCE OFFICE
Rm 251.15 Riddell Centre
Phone: 5854631
Fax: 5855172
MEDICAL INFORMATION
Academic accommodations are provided by the University of Regina for students with short-term and permanent
disabilities. Students receive accommodations based on medical documentation received from their doctors.
Students with learning disabilities receive accommodations based on their psycho-educational assessment by a
registered psychologist.
Completed forms must be returned to the University of Regina Disability Resource office by fax, mail, or by the
student.
STUDENT INFORMATION:
Last Name: First Name: Student ID Number:
Address: City: Province: Postal Code:
Telephone:
( )
E-mail: Date of Birth:
Day Month Year
TO BE COMPLETED BY THE PHYSICIAN:

  

Source: Argerami, Martin - Department of Mathematics and Statistics, University of Regina

 

Collections: Mathematics