New Student Disability Accommodation Request Form

Please provide us with documentation of your disability as part of the accommodation process. This documentation must be from someone who is qualified to diagnose or help you manage your disability and should not be from someone who has a personal relationship with you.

All documentation will be stored securely within the OSU-OKC Disability Services and Diversity Office.

If you don’t have documentation of your disability available right now, no worries! We’ll be glad to provide you with one semester of accommodations without this documentation to allow you time to obtain it. We’ll just need this documentation before we approve a second semester of accommodations and beyond.

Proper documentation should contain all of the following things:

1. Your first and last name
2. Your date of birth or your OSU-OKC Student ID Number
3. The date the documentation was prepared or written
   • Please note that for Learning Disabilities the best practice is to provide documentation that is no older than five (5) years.
4. The first and last name of the person who prepared the documentation
5. The specific name of your disability, for example: ADD/ADHD, Learning Disability – Written Expression, Seizure Disorder, Bipolar Disorder, etc.
6. A description of how this disability affects your daily life, for example:
   • Problems concentrating or maintaining focus
   • Takes longer time to process information
   • Periods of depression or mania
   • Extreme fatigue, difficulty performing daily life activities
   • Pain in hands when writing
7. The projected progression or stability of your disability (if not evident by the name of your disability or diagnosis)

You can also use our Disability Documentation Form to give to your health care provider or diagnosing professional.

How to submit documentation:

• Email: okc.accessibility@okstate.edu
• Book appointment to drop off in-person
• Fax: 405-945-9127

⇒ Need an assessment for Learning Disabilities or Attention Deficit/Hyperactivity Disorder (ADHD), but having trouble with assessment cost? We may be able to help through a partnership with the OSU-Stillwater Psychological Services Center. Call or email Chris Bingham, OSU-OKC Director of Disability Services and Diversity at 405-945-3385 or chris.bingham@okstate.edu to learn more.