Loyola University Chicago

- Navigation -

Loyola University Chicago

Services for Students with Disabilities

Student Forms

To download a form, click the desired format next to the form title. Please return all completed forms to SSWD located in the Sullivan Center for Student Services, suite 117.

Intake Forms

If you are new to SSWD, please review the following intake forms.  Students may complete the intake formed in advance of or during your meeting with a Disability Specialist.  We look forward to meeting you!

Please submit completed forms to SSWD (Sullivan Center, suite 117).

Student Information Form

Intake Form (PDF)  |  Intake Form (doc)

Student Release Form

Authorization Form (PDF)  |  Authorization Form (doc)

Student Rights and Responsibility Form

Rights & Responsibilities Form (PDF)  |  Rights & Responsibilities Form (doc)

Accommodation Request Form

If you are a returning student already registered with our office, you can fill out the following form to request accommodations for each semester.  If you would like additional accommodations not already approved, you will need to make an appointment with our office.

Please submit completed forms to SSWD (Sullivan Center, suite 117).

Accommodation Request Form (PDF)  |  Accommodation Request Form (doc)


Services for Students with Disabilities
Sullivan Center for Student Services · 6339 N. Sheridan Rd., Chicago, IL 60660
Mailing Address: 1032 W. Sheridan Road, Chicago, IL 60660
Phone: 773.508.3700 · Fax: 773.508.3810
TTY: 773.508.2771

Notice of Non-discriminatory Policy