DRC Student Registration Form

* indicates a required field

Student Information

Please enter your information
This is the name DRC will use for correspondence, and your Letter of Accommodation.
Please use your university issued email address
Are you enrolled in a Health Science College, or the Colleges of Social Work or Education?Required
(e.g. AHS, Nursing, Dentistry, Medicine, Pharmacy, Public Health, Education, Social Work)

Specific Accommodation Information

This question is for aggregate reporting purposes to the Illinois Board of Higher Education and will not impact your accommodations.
Upload supporting document(s)

You may also upload your supporting medical documentation to our Protected Health Information (PHI) link found here.

Next Step in DRC Registration ProcessRequired
I understand that the next step in the DRC Registration process is to contact the Disability Resource Center at 312-413-2183 or at drc@uic.edu to schedule an Intake Appointment with a Disability Specialist.