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DISABILITY SERVICES

PHYSICAL ACCOMMODATION REQUEST FORMS

*In order to receive accommodations, students must register with Disability Services and present appropriate documentation.

*Classroom Physical Accommodation Request Form.
  Use this form to request physical accommodation setup in the classroom.

*General Physical Accommodation Request Form.
 Use this form if you have any specific concern or request regarding physical  accommodation.


General Physical Accommodation Request Form

Photo of the front side of the Chickasaw building housing Disability Services on the 4th Floor  looking  North on Caraway

Please complete this form if you have any specific concern or request regarding physical accommodations. Upon receipt of the form below, the Physical Accommodation Specialist will contact you.  For urgent requests, please call Disability Services at 870-972-3964.

 

  All fields required. Hit the submit button when you are ready to submit the   request.

                

   

    

 

              

  Request (check all that apply)