Health Services: Forms

General Disability Documentation Guidelines (PDF)
Learning Disability Documentation Guidelines (PDF)
ADD/ADHD Documentation Guidelines (PDF)
Psychiatric Disability Documentation Guidelines (PDF)
Sensory Disability Documentation Guidelines (PDF)
Verification of Disability Form for Asthma and Allergy Conditions (PDF)
This form is required for students requesting accommodation on the basis of asthma or allergy. Physician letters are not accepted.
Verification of Disability Form for Medical Providers (PDF)
This form can be used in lieu of a clinician letter and must be completed by a qualified professional. Students are responsible for ensuring that information provided meets Disability Services guidelines for documentation by disability type. Refer to documentation guidelines (see above) for more information on requirements by disability type.
Verification of Disability for Mental Health Treatment Providers (PDF)
This form can be used in lieu of a mental health clinician letter and must be completed by a qualified professional to document a psychiatric disability. Students are responsible for ensuring that information provided meets Disability Services guidelines for documentation by disability type. Refer to documentation guidelines (see above) for more information on requirements by disability type.

Request for Services and Accommodations

Authorization for Release of Health Information (PDF)
Medical Services Patient Satisfaction Survey Consent Form (Online)
Note: if you require disability accommodations to complete this form, please contact Deborah Cusack at dc60@columbia.edu.

General Information	(212) 854-2284
After-hours urgent health concerns	(212) 854-9797
CU-EMS (Ambulance)	(212) 854-5555
Rape Crisis/Anti-Violence Support Center	(212) 854-HELP
Uptown Campus Public Safety
- On-Campus	7-7979
- Off-Campus	(212) 305-8100

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