University of Southern Indiana
Medical Withdrawal

Withdrawal from the Current Semester/Term

A student may request and be considered for a medical withdrawal from courses in a semester/term when a serious medical condition (physical or psychological) prevents the student from continuing his or her classes after the "last day to drop courses without evaluation" as outlined in the bulletin of a term, and grades of incompletes or other arrangements with instructors are not feasible. Students who wish to withdraw from courses prior to the "last day to drop courses without evaluation" should follow the normal withdrawal process through the Office of the Registrar.

Courses meeting less than the full term have different schedule revision, refund, and drop/withdrawal dates. Contact the Office of the Registrar for these dates.

A student seeking to withdraw from the current semester/term after the last day to drop without evaluation, because of a serious medical condition, must complete the procedure outlined below:

A student, or an individual requesting a withdrawal on behalf of a student, who, because of a serious medical condition, is physically or psychologically unable to request the withdrawal, may obtain the Application for Medical Withdrawal form (also available at the Associate Provost for Student Affairs Office; Byron C. Wright Administration Building room 104), which must be completed and signed by the student, if possible, and the terminally degreed licensed healthcare provider (Doctor, Psychologist, etc.). This provider must certify this action is without bias. The need for a medical withdrawal must be substantiated, by documentation the University considers appropriate, from the terminally degreed licensed healthcare provider on his or her prescription form or letterhead if no prescription form and signed in his or her own hand. By seeking withdrawal because of serious medical reasons, the student consents to the release of individually identifiable health information and other medical records and information governed by the Health Insurance Portability and Accountability Act of 1996 ("HIPAA") to the University Registrar, Administrative Appeals committee, the Dean of Students Office, and other University administrative personnel for the purposes of reviewing the student's request for withdrawal.

Once the completed Application for Medical Withdrawal form and terminally degreed licensed healthcare provider statement have been received by the Associate Provost for Student Affairs Office and verified, the faculty members for each course for which a withdrawal is requested will be contacted. The Dean of Students Office will also be informed of the request and asked to provide relevant information. Each such faculty member will be given the opportunity to provide input in response to the student's withdrawal request. If, for some reason, a faculty member is unavailable to respond to a request, the chair of that academic department will be asked to respond on behalf of the faculty. If the medical withdrawal is granted, "W" grades will be recorded for each course that has not been previously graded.

If a student lives in University housing, he/she should contact the Residence Life Center (O'Daniel North) to properly vacate his/her University residence. If a student has a meal plan, he/she should contact Dining Services (UC lower level) to cancel the plan. If a student owes money to the University, the student should settle his/her account at the Bursar's Office (Orr Center lower level); an unpaid balance will prevent the release of a student's academic transcript. 

Application for Medical Withdrawal for a current semester/term must be submitted to the Associate Provost for Student Affairs Office no later than 4:30 p.m. on the last day of business before final exams begin. 

Retroactive Withdrawal

A student who left the University because of a serious medical condition without an official withdrawal during the term of departure may apply for a retroactive withdrawal. The student must present documentation that demonstrates extraordinary circumstances justifying the retroactive nature of the request. A student must request a retroactive withdrawal within one term after the end of the academic term for which the medical withdrawal is considered or forever waive the opportunity to do so.

Requests for a Medical Withdrawal for a term/semester prior to the current term will be reviewed by the Administrative Appeals committee for a decision. The summer sessions are included as a term. For example:

Medical Withdrawal Requested For: Must Be Received By:
Fall semester April 30 of the following year
Spring semester August 15 of the current year
Summer semester November 30 of the current year


A student, or an individual requesting a withdrawal on behalf of a student who, because of a serious medical condition, is physically or psychologically unable to request the withdrawal, may obtain the Application for Medical Withdrawal form (also available at the Associate Provost for Student Affairs Office), which must be completed and signed by the student, if possible, and the terminally degreed licensed healthcare provider.  This provider must certify this action is without bias. The need for a medical withdrawal must be substantiated, by documentation the University considers appropriate, from the terminally degreed licensed healthcare provider on his or her prescription form or letterhead if no prescription form and signed in his or her own hand. By seeking withdrawal because of medical reasons, the student consents to the release of individually identifiable health information and other medical records and information governed by the Health Insurance Portability and Accountability Act of 1996 ("HIPAA") to the Office of the Registrar, Administrative Appeals committee, the Dean of Students Office, and other administrators involved in the process for the purposes of reviewing the student's request for withdrawal.

Returning to Campus

When a medical withdrawal is approved, a hold is placed on the student's record to prevent registration for future terms until the student has been released from the terminally degreed licensed healthcare provider. The terminally degreed licensed healthcare provider treating the student while on leave must complete the Release to Return to the University Following Medical Withdrawal form verifying that the student's condition has improved to the point where the student is cleared to return. This form, once completed in full, should be returned to the Office of the Registrar. In certain cases, students returning from a medical withdrawal will also be asked to meet with Dean of Students Office to ensure that there is adequate support as they transition back to USI.

Tuition Refunds

For Current Semester/Term

Tuition refunds are made in accordance with the university refund schedule. Refunds will not be given for medical withdrawals after the dates indicated in the refund schedule. Exceptions to the tuition refund policy are only granted for extraordinary circumstances.

For Retroactive Withdrawals

No tuition or fees will be refunded for a retroactive withdrawal. 


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