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Request for Services Information

Self Identification Form

Every student has the opportunity to voluntarily self-identify with Centralia College as having a disability or medical condition that may impact access to the programs and activities of the college.

The Request for Services form is available in the Disability Services office or may be submitted below.

Please Note: Identifying oneself as having a disability, to an individual professor, office, or department other than Disability Services, is NOT considered an official notification to the College.

If you have a disability or chronic medical condition, we encourage you to submit the Request for Services Self Identification form. Upon receipt of the form, in most instances we will request that you provide documentation from your primary care physician or other professional care provider about the current functional limitation/s your medical condition imposes on you, while you are enrolled at Centralia College. This documentation will be held in confidence.

Contact Disability Services:

Student Center Building

Hearing Impaired:
7-1-1 or 800-833-6388