*Students: please use STUDENT ID - NOT Unique ID
*New External Applicants: Please enter phone number without dashes
*Visitors: Please enter phone number without dashes
Please list the specific department
Please give the interviewer's full name and telephone number
In as much detail as possible, please describe how your disability currently impacts and substantially limits your ability in the academic/employment or campus setting.
In as much detail as possible, please describe how your disability has affected your life in the past.
In order to explore possible coverage and reasonable accommodations, it is often necessary for the staff of Disability Management System (DMS) / Student Disability Access Office (SDAO) to discuss documentation and the individual's disability with the student's parent(s), Duke University faculty and staff, as well as medical providers such as licensed physicians, psychologists, or other qualified professionals. By typing in my name and clicking on the "SUBMIT" button, I hereby give my permission for members of DMS/SDAO staff at Duke University to exchange information regarding my disability and the documentation I have submitted with my parent(s), Duke University faculty and staff, and medical providers. All information obtained in diagnostic medical, psychological, and educational reports will be maintained and used in accordance with applicable confidentiality requirements.