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Voluntary Medical Withdrawal

Voluntary Medical Withdrawal

We encourage any student who is considering a voluntary medical withdrawal to speak with someone in their Dean's office to determine all of their options before making a final decision.

A withdrawal can be considered a “medical withdrawal” if a student cannot continue in classes or finish academic requirements during a term for reasons related to the student’s physical and/or mental health. In most cases, a medical withdrawal will be a withdrawal from all courses in which the student is registered, though partial withdrawals may be appropriate in some cases. Please note:

  • A request for medical withdrawal is not a guarantee. OLR reviews all information and issues a formal determination via the student’s University email account.
  • The medical withdrawal process does not dismiss/waive any legal, disciplinary, housing, meal plan, or other student responsibilities to the university.

Please remember, a student can withdraw from individual classes during the semester through the regular withdrawal options outlined on the Flyer Student Services page ( under Your Classes > Academic Catalog.

To request a medical withdrawal, complete all fields in this form. 

For more information on the voluntary medical withdrawal process, please refer to the Voluntary Medical Withdrawal web page (


Student Demographics

Withdrawal Information

Submission Information

By submitting this form, I acknowledge my understanding that an appointment with OLR and supporting documentation are required. See the Voluntary Medical Withdrawal web page for more information: (


Office of Learning Resources

Roesch Library
300 College Park
Dayton, Ohio 45469 - 1302
Fax: 937.229.3270