The university recognizes that in certain circumstances a health issue may so significantly impact a student’s academic work that a Medical Withdrawal for the term is needed. The Medical Withdrawal Checklist explains the policy and provides a checklist of required documentation to process the withdrawal. Contact the Student Life Office (Hauge Admin. Bldg., Rm 105, 253-535-7191 or slif@plu.edu) for more information and to receive the Petition for Medical Withdrawal. When contacting the Student Life Office, it is best to have the documentation immediately available to expedite the process.

These sample forms are used to ensure a student's informed written consent before writing a letter of recommendation that is based on information on his/her education record.