Medical leave form pdf download 2026

1. Click ‘Get Form’ to open the medical leave form in the editor.
2. Begin by entering your name, student ID, and class year in the designated fields. Ensure accuracy as this information is crucial for identification.
3. Fill in your current local address and permanent home address. This helps the university maintain accurate contact records.
4. Provide your cell phone number, home number, and both your Northwestern email and an alternate email for communication purposes.
5. Select your desired return date by checking the appropriate quarter box (FALL, WINTER, SPRING, SUMMER) and writing the year.
6. Indicate whether you have contacted CAPS or Health Services for a reinstatement interview by filling in the date of your interview.
7. In the provided space, describe your activities since leaving the university. Highlight how these experiences have contributed to your personal growth and explain why you wish to return now.
8. Sign and date the form at the bottom before submitting it via fax or mail to ensure it reaches the Dean of Students Office on time.

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