Verification of Disability Form
To be determined eligible for accommodations and services, some students may be required to submit documentation of their disability. Most conditions can be verified by using the form below and should be filled out by the student's current treating provider.
Our preferred method of submission is via DocuSign. If the treating provider is currently under supervision, they should download and fax back the form to SDAC at (434) 243-5188.
- Verification of Disability: Submit via DocuSign (Preferred; HIPAA-compliant)
- Alternative formats available for this form:
Housing Accommodations
SDAC receives requests, reviews documentation, and works with Housing & Residence Life to facilitate accommodations for students with medical conditions or disabilities who have specific needs, such as wheelchair accessibility, modified safety alarms, kitchen access or access to specific dining halls, single room, a service animal or emotional support animal, etc. Students should adhere to all the standard Housing division policies and deadlines for applications; it is important to note that priority will go to students who submit the housing accommodation forms by Housing and Residence Life's published deadlines. Disability needs will take priority over specific residence hall and/or roommate requests; for example, single rooms are not available in all residence halls.
For housing accommodations, we ask that students submit both of the forms below to give us more information about the request:
- To be completed by the student:
- Student Request for Housing Accommodation Form: Request via DocuSign (Preferred)
- Alternative formats available for this form:
To be completed by the treating provider:
- Verification of Disability Form (see above)
Dietary or Meal Planning Accommodations
SDAC works closely with UVA Dining to accommodate students in need of dietary or meal plan modifications due to a disability, including severe food allergies or Celiac Disease. We ask that students submit both of the forms below to give us a better understanding of how the University can best accommodate their needs:
- To be completed by the student:
- Student Request for Dietary Accommodations: Request (PDF)
- Alternative format available for this form:
To be completed by the treating provider:
- Verification of Disability Form (see above)
Release or Exchange of Information
Students may authorize SDAC to communicate with specific individuals or an agency using the form below.