Students seeking support services from Student Accessibility Services on the basis of a previously diagnosed psychological disability or Attention-Deficit/Hyperactivity Disorder (AD/HD) are requested to submit documentation that verifies their eligibility under Section 504 of the Rehabilitation Act, the Americans with Disabilities Act (ADA) and the ADA Amendments Act.

The documentation should describe a disabling condition, which is defined by the presence of substantial limitations in one or more major life activities.

This form is intended to guide the documentation process. Please contact us at (484) 258-2410 with any questions. It is the student’s responsibility to ensure that GIU Student Services receives this form or other appropriate documentation.

Submission

You can submit the filled form online or offline depending on your study mode.

If you’re studying online, submit a scanned copy of the filled form below:


If you’re studying offline, submit the filled form to your study center.

Skip to content