Accommodation Form

* indicates a required field

Student Information

Please enter your information
Please use your Tufts email address

Disability Information

Is your disabilityRequired
Have you given the Office of Student Affairs a copy of either your most recent diagnostic documentation or the medical form from your provider?Required
Have you given the Office of Student Affairs documentation of your previous accommodations at educational institutions or testing agencies?Required
(medication, counseling, physical therapy, etc.)

Accommodation Information

Follow-Up Information

Confidentiality and Disclosure of InformationRequired

All information maintained by the Student Affairs Office is part of a student’s educational record and as such protected by the Federal Family Educational Rights & Privacy Act (FERPA).

  • Students wishing to waive their FERPA rights and allow information in their educational record to be shared with someone other than themselves must fill out and sign a FERPA release.

  • Documentation pertaining to a student’s diagnosis (including, but not limited to, diagnostic evaluations, IEPs/504 plans, medical records, etc.) should only be submitted to the Student Affairs Office.
  • The Student Affairs Office strongly advises students to keep a copy of their documentation.
  • Registration with the Student Affairs Office and/or the use of accommodations does not appear on student’s transcripts from the university.
  • Disclosure to the Student Affairs Office does not constitute disclosure to other offices, services, or professionals at Tufts University School of Dental Medicine.
  • Information is only shared with other professionals at Tufts University School of Dental Medicine to facilitate the provision of accommodations when necessary and/or if questions arise.
  • Information pertaining to a student’s diagnosis will not be shared with other professionals at Tufts University School of Dental Medicine without written consent from the student.
  • Students requesting release of information must fill out and sign a consent form.
  • When a student has graduated or is no longer a student at Tufts University School of Dental Medicine, the student's file is kept for five years and then destroyed.
Upload supporting document(s)

Before submitting documentation please review the School of Dental Medicine documentation requirements. 

Chronic Health and/or Mental Health documentation must be completed by your health care provider. If you have any questions please reach out to Maggie McMorrow at maggie.mcmorrow@tufts.edu.