Application for Services - Student Disability Services

* indicates a required field

Student Information

Please answer questions to the best of your ability. If you are unsure of anything specific, we can discuss in our meeting.

Once you have completed this application, please email us at to request an intake appointment.

Name that you are registered at UCSF under
Name that you are registered at UCSF under
**If you do not have a student ID# yet, please reach out to before completing this application**
Please use your university issued email address
School or Program You are Enrolled/Enrolling In:Required
I am a United States Military VeteranRequired
You will have an opportunity to select a secondary disability in the next question (if applicable).
please disregard if no secondary disability

Accommodation History

If applicable, please provide information about your history of receiving accommodations. Note: a history of accommodations, or lack thereof, does not necessarily predict the provision of accommodations here at UCSF.

If possible, please provide with your documentation a copy of your previous accommodation letter(s).

Upload supporting document(s)

The full list of requirements for registration, including documentation guidelines, can be found on our website at: or on "How to Register."

Once you have completed this application, please email our office at: to request an intake appointment.

If you have any questions, or would like to speak to someone directly, you can always call us at 415-476-6595. We look forward to working with you!

Preference - Meeting TypeRequired
I understand it is my responsibility to provide disability documentation consistent with UC practices in order to establish eligibility for services through Student Disability Services. I understand that review of my documentation is applicable only for providing accommodations at UCSF and may not be accepted by any other institution or testing agency.
Voter Registration - Supplemental