Student Request for Services Form

Please fill out the Student Request for Services Form and upload supporting documentation. Contact OSAA@mcphs.edu or 617-879-5995 with any questions.

Due to the volume of accommodation requests at this time we are currently scheduling appointments 1-2 weeks in advance. Once your intake is complete it may take up to 5-10 business days for OSAA to review your request and determine eligibility.
* indicates a required field

Student Information

Please enter your information

Include the numbers only. Do not include the "m"

If you are an incoming student and have not been issued an MCPHS ID number you may write "none"

Please select the campus you are or will be taking classes on.

Please use your university issued email address. If you are an incoming student and have not yet been issues an MCPHS email, you may use a personal email. Please refrain from using school emails from other schools unless you have indefinite access. For example, some high schools remove email access after graduation.

Please be sure to double check that your email is entered correctly!

Current - You are actively Enrolled at the University

Current/Return from LOA - You are a current student returning from a leave

Incoming - You are incoming for a future semester, but have not yet started class

SPS - you are enrolled in a self-paced course with the School of Professional Studies and are not matriculated into a program at MCPHS.

Specific Accommodation Information

Please select the primary area of concern. You can discuss other areas in your intake, but knowing what area is the most important to you will help OSAA schedule you with the correct staff member.
Areas of ImpactRequired
Please select the areas in which your disability impacts you

Please describe the ways your disability impacts you in the university settings you selected above.

Please describe the accommodations you are requesting to mitigate the impact of your disability and provide equal access.
Upload supporting document(s)Required

Documentation should:

  • include a formal diagnosis
  • outline functional limitations (how the diagnosis impacts you)
  • provide recommendations from your provider regarding accommodations
  • be specific to the types of accommodations being requested

Examples may include psychological testing, doctor's letter, 504, etc.

Please note: screenshots of a student's health portal or a medication prescription rarely provide adequate information for OSAA to determine eligibility.

If you have questions about supporting documentation please email OSAA@mcphs.edu or call 617-879-5995.