If you have received a medical withdrawal for psychiatric reasons and if your dean has asked that you receive "medical clearance" through Counseling and Psychological Services (CAPS), the following documents which are in PDF format are available to be printed for your use. These documents describe what is required of you and your treating mental health provider in order for you to receive medical clearance for reenrollment.

Letter to Student - Provides an overview of the process of obtaining medical clearance for reenrollment.

Letter to Mental Health Provider - Provides explanation of the documentation needed by CAPS in order to provide medical clearance and make a recommendation to the student's academic dean regarding reenrollment.

Form to be Completed by Student's Physician or Mental Health Provider - This form must be completed and returned to CAPS. CAPS clinicians will review the documentation and forward a recommendation to the student's academic dean regarding the student's readiness to reenroll. If the documentation from the student's treating provider is inadequate, or if the student's academic dean has specifically requested an in-person reenrollment assessment, then the student will need to make an appointment at CAPS for this purpose.

Student Reenrollment Information Update and Consent for Communication with Academic Dean - This form provides CAPS with your current contact information in the event that a CAPS professional needs to speak with you about your request for medical clearance for reenrollment. It also provides CAPS with permission to convey recommendations to your academic deans regarding your reenrollment. This form should be completed and returned to CAPS at the time that reenrollment is being requested.

Dean's Notification to CAPS of Student Medical Withdrawal - Unlike the forms listed above, this form is not intended for student use. It is to be used by UVa academic deans to notify CAPS that a medical withdrawal has been issued. The form also stipulates the nature of the reenrollment assessment requested by the dean. It should be completed by academic deans who are choosing to utilize CAPS for reenrollment consultation. The form should be sent to CAPS at the time of a students' withdrawal.

Maintained by: studenthealth@virginia.edu Last Modified: Wednesday, 07-Jun-2006 08:38:04 EDT © 2002 by the Rector and Visitors of the University of Virginia