How to Get Accommodations at College
Getting academic accommodations at college is one of the most useful and most underused things a student with a disability or health condition can do. Many students who qualify never ask, because they do not know the process, fear stigma or assume that the support from school will carry over automatically. It does not. In college, you are usually responsible for starting the process yourself. But once you know the steps, it becomes much more manageable, and the support can transform how you experience your studies.
Systems, laws and terminology differ by country and institution. This guide uses no figures, gives no legal or medical advice and is general information. Always check your own college's published process and speak to its disability office.
What accommodations are
Accommodations are adjustments that reduce barriers caused by a disability, long-term health condition or similar need, so that you can show what you know on equal terms. They do not lower academic standards or give an unfair advantage. They change how you access learning or demonstrate understanding.
Common examples include:
- Extra time or a separate room for exams. Our guide to exam accommodations: extra time and alternatives explains these in detail.
- Accessible formats for readings, such as large print, audio or screen reader compatible files.
- Note-taking support or permission to record lectures.
- Assistive technology. Our guide to assistive technology for students describes common tools.
- Flexible attendance or deadlines, where appropriate to the course.
- Sign language interpreters or captioning.
- Accessible housing and campus access.
- Breaks, rest and adjustments for health needs.
What is reasonable depends on your needs, the course and what would fundamentally change the learning goals. The disability office decides with you.
How college differs from school
Support in school is often arranged by teachers, parents and school staff, sometimes without the student needing to ask. At college, things usually change.
- You must usually start the process, and register with the disability office.
- You provide documentation, and may need updated evidence.
- You decide whether to use accommodations, and whom to tell.
- Professors are informed through the office, not automatically.
- Plans from school may not carry over, though they are often good evidence.
This shift can feel sudden, especially for students who relied on adults to organize support. But it also gives you more control.
Step one: find the office
Most colleges have a disability services or accessibility office. Look for:
- The office web page, with contact details, forms and guidance.
- Opening hours and booking methods, which may be online.
- Staff names and whether you can meet by phone, video or in person.
- A list of what they offer.
Contact them early, ideally before you start. If you are choosing between colleges, ask each office about their process and what support they provide. Some will meet prospective students.
Step two: understand the documentation requirements
Colleges ask for evidence of your disability or condition, so that they can decide what support is appropriate. Requirements differ.
- Types of evidence may include a letter from a doctor or expert, an educational psychologist's report, a plan from school or a previous college, or a statement from a therapist.
- What the document should say: your diagnosis or condition, how it affects you, and ideally recommendations for support.
- How recent it should be: some offices want recent documents, others accept older ones, especially for lifelong conditions.
- Alternatives may be available if you cannot obtain standard documents.
Ask the office for their guidelines in writing, and ask whether they will help with costs or arrange assessments if you do not have documents.
Step three: gather your evidence
- Contact your doctor, expert or therapist and ask for a letter that meets the college's guidelines.
- Request school records or plans from earlier education.
- Keep copies of everything.
- Start early. Appointments and letters can take weeks.
- Ask about costs. Some offices have funds or referrals.
If you have a new or suspected condition and no diagnosis, tell the disability office. They can explain what you need, and may be able to give interim support while you arrange assessment.
Step four: register and meet an adviser
Registration usually involves:
- Completing a form, often online.
- Submitting your evidence.
- Attending an intake appointment, where you discuss your needs.
In the meeting, be honest and practical.
- Describe how your condition affects your studies, with examples.
- Explain what has helped in the past.
- Say what you think you need, and ask for advice.
- Ask what is possible and what the process is for exams, housing and technology.
- Ask about confidentiality, and who will know what.
Advisers have helped many students, and are used to questions.
Step five: your accommodation plan
After the meeting, you typically receive a letter or plan listing your approved accommodations.
- Check it carefully for accuracy and completeness.
- Ask if anything is missing or unclear.
- Understand how it is shared with instructors, and what you must do.
- Keep a copy.
If something you need is not approved, ask why, and whether alternatives exist.
Step six: using accommodations each term
Accommodations rarely apply automatically.
- Request or confirm them each term, as your college requires.
- Submit exam requests by the deadlines. These are often earlier than students expect.
- Order accessible formats early, since producing them takes time.
- Tell the office if your needs change, or if something is not working.
Put the deadlines in your calendar, so that you do not miss them.
Step seven: talking to professors
Your accommodation letter is usually shared with professors by you or the office.
- Share it early, ideally in the first week.
- Offer to meet, and talk about how the accommodations will work in that course.
- Be specific: which assessments, how to arrange rooms or time.
- You do not have to share your diagnosis unless you choose to.
- Keep a record of what you agree.
- Ask for clarification if you are unsure.
If a request is delayed or refused
Problems can arise.
- Delays: follow up early, and ask for interim arrangements.
- Refusals: ask for the decision and the reasons in writing, and check the appeals process.
- Instructor resistance: contact the disability office, which has authority to resolve it.
- Missing documentation: ask what alternatives exist, and whether the office can help you obtain evidence.
- Feeling unheard: use student advocacy services, the dean of students or an external advice service.
Laws and rights vary by country.
Privacy and your records
Disability information is sensitive.
- Colleges generally keep it confidential, sharing only what is necessary.
- Ask who can see your records, and how they are stored.
- You decide whom to tell, beyond the office.
- Keep your own copies of letters and plans.
International students
If you study in a different country, systems may be unfamiliar. Contact the disability office early, ask what they accept from foreign doctors and schools and allow extra time for documents and translation. Ask whether the office can help with housing, visas and funding questions, or refer you to someone who can.
Common mistakes
- Waiting until you are struggling.
- Assuming school plans transfer automatically.
- Not asking what documents are needed.
- Missing exam accommodation deadlines.
- Not renewing each term.
- Not reading your accommodation letter.
- Staying silent when something is not working.
A quick checklist
- Do I know where the disability office is, and how to contact it?
- Have I asked what documentation is needed?
- Have I gathered my evidence?
- Have I registered and met an adviser?
- Do I know how to renew and request accommodations each term?
Final thoughts
Accommodations exist so that disability does not decide who gets to show what they can do. The process asks for effort, but it is a well-trodden path. Start early, gather your evidence, talk to the office and keep records. If something goes wrong, ask for help. The support can make a major difference to your studies and your wellbeing.
Find the disability services office
Search the college website for disability services, accessibility services or student access. Note how to book an appointment and what the first step is. Contact them as early as you can, ideally before the term starts, since arranging support can take weeks.
Learn what the college asks for
Read the office's documentation guidelines. Colleges differ on what counts as evidence, such as a letter from a doctor or psychologist, a school plan or a report. Ask what is accepted for your situation and whether older documents are still valid.
Gather your documentation
Collect letters, reports and plans from your doctor, therapist, school or earlier college. If you do not have documents, ask the office what alternatives exist, and book appointments with the right professionals early. Keep copies of everything.
Register and meet with an adviser
Complete the registration form, submit your documents and attend an intake meeting. Explain how your condition affects your studies, what has helped before and what you think you need. The adviser will discuss what is reasonable and what the college can provide.
Receive your accommodation letter or plan
The office usually gives you a letter or plan listing your approved accommodations. Check that it is accurate and complete. Ask how it will be shared with instructors and what you need to do each term.
Request accommodations each term
Many colleges require you to renew or confirm your accommodations for each course or term. Submit requests early, before the first week of class where possible, and especially before exams.
Talk to your professors
Share your accommodation letter with each instructor as the office directs, and talk about how it will work in that course. Be specific and practical. Keep a record of agreements.
Review and adjust
If something is not working, go back to the disability office and ask to adjust. Needs change over time, and so can accommodations. Keep your documents up to date.
Frequently asked questions
What are academic accommodations?
Adjustments that reduce barriers caused by a disability or health condition, such as extra time, accessible formats or note-taking support, without lowering academic standards.
When should I start?
As early as possible, ideally before the term begins, since documentation and arrangements can take weeks.
Do I have to tell my professors my diagnosis?
Usually not. Your accommodation letter typically lists what you need, not why, though you can share more if you wish.
What if I do not have documents?
Ask the office what alternatives are accepted, and arrange assessments or letters from professionals where needed.
What if my request is refused?
Ask for the reason in writing, check the appeal process and seek advice from advocacy services.