Medical/Compassionate Withdrawal Request

Medical/Compassionate Withdrawal Request Procedures

A medical/compassionate withdrawal request may be made in extraordinary cases in which serious illness or injury (medical) or another significant personal situation (compassionate) prevents a student from continuing his or her classes, and incompletes or other arrangements with the instructors are not possible.

Usually, consideration is for a complete withdrawal. All applications for withdrawal require thorough and credible documentation; however, applications for less than a complete withdrawal must be especially well documented to justify the selective nature of the partial medical/compassionate withdrawal.

A student may request and be considered for a medical withdrawal when extraordinary circumstances, such as a serious illness or injury prevent the student from continuing classes. The medical withdrawal policy covers both physical health and mental health difficulties.

A student may request and be considered for a compassionate withdrawal when extraordinary personal reasons, not related to the student's personal physical or mental health (for example, care of a seriously ill child or spouse, or a death in the student's immediate family), prevent the student from continuing in classes.

Each college has a dean's designee (see list below) who reviews medical/compassionate withdrawal requests, according to that college's procedures. A student requesting a medical/compassionate withdrawal is referred to the dean's designee of the college of their major. A non-degree student is referred to the dean's designee of the college with which he or she is primarily affiliated. The dean's designee determines the appropriateness of the medical/compassionate withdrawal request and based on the documentation provided either approves or denies the request. If approved, the dean's designee also determines the approved effective date based on the documentation provided by the student/healthcare provider. The Approved Effective Date is used to calculate the percentage of tuition and fees that should be refunded, if any. In addition, if the medical/compassionate withdrawal request is approved the dean's designee must also determine if a medical administrative hold is appropriate. If a medical administrative hold is placed on the student's records, the student will be blocked from all future registration at ASU until the hold is removed by the dean's designee. The removal of the medical administrative hold is usually only processed after the student/healthcare provider supplies documentation explaining that the student is well enough to return to the university.

An approved medical/compassionate withdrawal request will result in a special note line indicating the nature of the withdrawal on the student's unofficial transcript. Medical/Compassionate withdrawal applications and supporting documents are retained by the college of the student's major for at least five years and filed separately from the student's other records.

Student Procedure for Medical/Compassionate Withdrawal
The following procedure applies to students who are unable to continue classes for extraordinary medical or other personal reasons. You are strongly encouraged to submit your request as soon as possible.

If you are receiving financial assistance, you are strongly encouraged to consult with a Student Financial Assistance Counselor to identify and understand the financial assistance/monetary implications of processing this withdrawal transaction.

If you are an international student with an F1/J1 visa, you must consult with the International Student Office to discuss the serious immigration consequences that may result from your withdrawal from ASU.

To request a medical/compassionate withdrawal, you must submit a Request for Documented Medical/Compassionate Withdrawal form along with appropriate documentation to the college of your major.

Appropriate documentation for a medical withdrawal consists of a letter from your attending health care provider that specifies the following:

• the date of onset of illness
• the dates you were under professional care
• the general nature of your medical condition and why/how it prevented you from completing your course work
• the date of your anticipated return to school
• the last date you were able to attend class

Requests for less than a complete withdrawal must be especially well documented to justify the selective nature of the medical withdrawal request. The letter must be typed on the health care provider's letterhead stationery and submitted in a sealed envelope.

Appropriate documentation for a compassionate withdrawal is dependent upon the nature of your circumstances. Your dean's designee can provide advice in this area.

Deans' Designees for Medical/Compassionate Withdrawals on the Tempe campus

Deans' Designees for Medical/Compassionate Withdrawals on the West campus

Deans' Designees for Medical/Compassionate Withdrawals on the Polytechnic campus

Deans' Designees for Medical/Compassionate Withdrawals on the Downtown campus

College Procedure for Medical/Compassionate Withdrawal

• Accept a completed Request for Documented Medical/Compassionate Withdrawal form along with a letter from the student's health care provider or other appropriate documentation. Remind the student to discuss the implications of this transaction with a Student Financial Assistance counselor, if he or she is receiving financial assistance.
• For Medical Withdrawals - The letter on the health care provider's stationery should specify: the date of onset of illness (used to calculate the percent of refund), the dates the student was under professional care, the general nature of the medical condition and why/how it prevented the student from completing his or her course work, the anticipated date of return to school, and the last date the student was able to attend class. Applications for less than a complete withdrawal must be especially well documented to justify the selective nature of the medical withdrawal request. Reminder: the letter must be typed on the health care provider's letterhead stationery and delivered to the dean's designee in a sealed envelope.
• For Compassionate Withdrawals - The documentation for a compassionate withdrawal will vary, according to the individual circumstances, and must be appropriate to the situation. For example, a compassionate withdrawal request to care for a seriously ill child or other family member may require information similar to that listed under medical withdrawals above. Depending on the situation, other required/acceptable documentation may include police reports, legal documents such as restraining orders, airline ticket receipts, newspaper clippings, etc.
• Contact the student's health care provider or other appropriate official for clarification, if necessary. (It is also appropriate to consult with other ASU officials for assistance in making this decision, such as staff in the Student Health Center, Student Life, etc.).
• Consider all relevant academic or personal information (e.g., number of previous withdrawals, number of prior requests for special consideration, etc.).
• Approve or disapprove the request for a medical/compassionate withdrawal and complete the bottom portion of the Request for Documented Medical/Compassionate Withdrawal form.

If Approved:

• Determine whether or not the student should be placed on medical administrative hold and removed from future classes, if registered.
• Send the appropriate copy of the Request for Documented Medical/Compassionate Withdrawal form, signed by the dean's designee approving the medical/compassionate withdrawal and specifying from which classes the student is to be withdrawn, to the University Registrar's Office, Student Services Building Room 140. Do not send copies of the documentation. If the student has an F1/J1 visa send the copy to the International Student Office first for their review.
• Send the appropriate copy of the approved Request for Documented Medical/Compassionate Withdrawal form to the Student Fee Payment Office, Student Services Building Room 235, for determination of the proper refund, if any.
• Send or give the student copy of the approved Request for Documented Medical/Compassionate Withdrawal form to the student. A letter of explanation is optional at the discretion of the dean's designee.
• Retain the original copy of the Request for Medical/Compassionate Withdrawal form and all original documentation for a minimum of five years. A longer retention period may be established at the discretion of the college.

If Denied:

• Send or give the student a copy of the disapproved Request for Documented Medical/Compassionate Withdrawal form. A letter of explanation is optional at the discretion of the dean's designee.
• Retain the original and all remaining copies of the Request for Documented Medical/Compassionate Withdrawal form and all original documentation for a minimum of five years. A longer retention period may be established at the discretion of the college.