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Request for Assistance with Temporary Medical Conditions Form | Bismarck State College

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Request for Assistance with Temporary Medical Conditions Form

 
 
 
 
 
 
 
Please submit additional supporting documentation.
The documentation should:
  • Be on letterhead and signed by the medical professional.
  • Contain a clear diagnosis or explanation of what occurred. 
  • Identify the relevant limitations of the condition, such as "cannot walk for more than 30ft". 
  • State an approximate length of time the student will be impacted, if possible. 
The above items can be delivered by any of the following methods:
  • Drop off at the Office for Student Accessibility Office located in Schafer Hall 135
  • Mail to Bismarck State College for Student Accessibility, PO Box 5587, Bismarck, ND 58506
  • Email to bsc.accessibility@bismarckstate.edu