Continued Services Form

Continued Services Form 2020-12-07T11:00:26+00:00

Welcome to Accessibility and Disability Services at Northwestern State University of Louisiana!

You have been directed to this form because you may benefit from some of the services and/or accommodations we offer here. This form would be used for re-registration for continued services with OADS, as well as uploading any additional documentation.

This form needs to be filled out for each semester that you are seeking accommodations from our office.

If you have any questions or need assistance filing out this form, please contact Accessibility and Disability Services at 318-357-4460.

Your Full Name (required):

Your Phone Number (required):

Your NSU Email (required):

Your physical address:

Nature of this report (Required):

Please Choose...
Continued ServicesAdditional Documentation

Today's Date (Required):

Additional Identifying Information

Please note: failure to provide a name and ID number in this section may result in a delay in processing this submission.

Involved party 1

Preferred Name:

Pronoun:

Semester for accommodations:

Questions

Are you currently receiving accommodations from the Office of Accessibility and Disability Services at Northwestern State University of Louisiana? (Required)
YesNo

Are your current accommodations meeting your needs? (Required)
YesNo

If No was selected above, please describe what additional accommodations are needed. Please set up a meeting with OADS to review your accommodations.

Please describe what documentation you will be uploading below:

Supporting Documentation

Documentation of your disability is information from a qualified licensed professional such as your doctor, therapist, psychoeducational testing, etc. We look for recent documentation (dated within the last five years). If you have older documentation, please submit that documentation and we will discuss it with you. We may ask that you obtain updated testing in order to get a clear picture of your current abilities and challenges. Your documentation must include information from a qualified licensed professional that addresses your current functioning, diagnosis, and recommendations for appropriate accommodations.

Each file must be less than 1MB.