You will need to include documentation of your disability:
Medical verfication (e.g., ADHD, Autism, Seizure Disorder, Vision, etc.)
AND/OR
Educational verification documents such as a 504 Plan or IEP (Individual Education Plan)
If you have documentation, please use the button below to upload it now.
***If your verification is password protected, the upload will not work. Please email your medical verification todisabilityinfo@santarosa.edu . Be sure to include the password in your email. Thank You. ***
You may download and print the form below for Medical Verification of Disability. It must be completed by a certifying medical professional (medical doctor or other licensed certifying professional such as Psychologist/Physical Therapist/State of CA Vocational Rehab Counselor).
MEDICAL VERIFICATION FORM (click to download/print)
Once the form is completed, you may submit it to DRD by:
1. Scanning and emailing to disabilityinfo@santarosa.edu
2. Faxing the document to 707-524-1768
3. By mail: Disability Resources, 1501 Mendocino Ave, Santa Rosa, CA 95401
4. In person: Santa Rosa campus, Bertolini 3rd Floor
Petaluma Campus, Richard Call Building, Room 600
*** Please Note: Request for Disability Services cannot be processed until Verification of Disability is received.***