Disability Services - Request for a follow up appointment

This form is for students who currently have accomodations through the Disability Services office but would like to discuss your accomodations. You will receive an email or text message once your response is received. You may also schedule an appointment by calling the office directly at 318-869-5466.

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* 1. First and Last name

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* 2. Centenary email address

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* 3. Phone number

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* 4. Preferred method of communication

Text message

Email

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* 5. Nature of requested change

Academic

Housing

Emotional Support Animal

Other (please specify)

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* 6. Please list your availability for an appointment (i.e., Monday mornings, Wednesday between 1pm-3pm, etc.) Disability Services office hours are Monday-Thursday 8am-5pm and Friday by appointment only.