Fill in the blanks, then print, email, or screenshot to give to your teacher.
Tip: Click any highlighted field to type your info. Everything stays on your device — nothing is saved or sent.
Date:
Dear ,
My name is and I am a student in your class.
I am writing to let you know that I have documented health conditions that qualify me for academic accommodations. My conditions may affect my attendance, energy levels, and ability to complete work on a typical schedule, but they do not affect my desire to learn and succeed in your class.
Specifically, the accommodations I may need include:
I have documentation on file with . I am happy to provide any additional documentation you may need.
I want to be upfront about this so we can work together. On good days, I will be fully present and engaged. On harder days, I may need to lean on these accommodations. I will always communicate with you as early as possible when something comes up.
Thank you for understanding. I am looking forward to a good semester.
Sincerely,