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Before returning to UVA after a medical withdrawal, you must complete the "Request to Re-Enroll following Withdrawal from the University" form [PDF] with a licensed health care provider. Please carefully review the form's instructions. Missing or inadequate information may delay your request.

You are encouraged to review the Withdrawal and Reenrollment Checklist and speak with your Dean regarding deadlines for your program to ensure you are academically eligibile before submitting these forms. Please allow 10 business days for Student Health and Wellness to review your request. If you do not have a licensed health care provider to complete your request, Student Health and Wellness Care Managers can assist you with identifying and connecting with appropriate providers. Care Managers can be reached in Counseling and Psychological Services (CAPS) by calling 434-243-5150 or in Medical Services by calling 434-982-3915.

Instructions for Submission

Upload your completed "Request to Re-Enroll following Withdrawal from the University" form [PDF] to the Healthy Hoos Patient Portal. If you are unable to submit via Healthy Hoos, you may fax the request form and any accompanying documentation to Student Health and Wellness Medical Records at 434-982-4262, Attn: Reenrollment Request. After uploading or faxing your request, we recommend you monitor your UVA email and messages in your Healthy Hoos Patient Portal for follow-up communications. You will be contacted by a Student Health and Wellness team member if there are any questions about your request. You, your Association Dean, and the Office of the Dean of Students will be notified via email once a recommendation has been made in response to your request.