Services for Students with Disabilities

The Disability Verification Form is to be filled out for Mental Health Conditions, ADHD, Autism Spectrum Disorders, and Acquired/Traumatic Brain Injuries.

Disability Verification Form (fillable PDF)

  • NOTE:
    • DOWNLOAD & SAVE: First, download and save this form to your computer desktop. Changes made before saving the document to the computer will be lost.
    • CHECKING BOXES: It is possible to check the boxes for symptom severity. To activate this feature, click the space to the right of the number.

This form is to be filled out for Chronic Health Conditions.

Chronic Health Condition Verification Form (fillable PDF)

  • NOTE:
    • DOWNLOAD & SAVE: First, download and save this form to your computer desktop. Changes made before saving the document to the computer will be lost.

When you have completed the form, you can email it to ssdoffice@umich.edu or fax it at (734) 936-3947. Please contact us at (734) 763-3000 to confirm that we have received your documentation.