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EIU Student Disability Services

Guidelines for Documentation

Physical Disabilities


A student seeking accommodations for a physical disability must provide signed documentation from a licensed health care provider. The documentation should include the following information:

  • Diagnosis and date of diagnosis
  • Cause
  • Impact or limitations
  • Medications
    • Side effects (if any) and the impact thereof on cognitive ability


To begin the registration process with our office, please submit the following to SDS:
  1. Physician's Statement to Determine Eligibility for a Functional or Physical Impairment   Word   PDF

  2. EIU/SDS Initial Intake Form   Word   PDF

  3. EIU/SDS Release of Information Form   Word   PDF


Documentation and forms can be submitted by:
Fax: (217) 581-7208
Hand delivered: McAfee Gym, Room 1272
Student Disability Services
Eastern Illinois University
600 Lincoln Ave.
Charleston, IL 61920

Related Pages

Contact Information


McAfee Gym, Room 1272
Fax: 217-581-7208


Monday - Friday 8 a.m. - 12 p.m. & 1 p.m. - 4:30 p.m.

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