STUDENT ASSISTANCE AND SUPPORT SERVICES

To request a medical leave of absence, please go to: https://cm.maxient.com/reportingform.php?NorthwesternUniv&layout_id=100

Students must work with either Counseling and Psychological Services (CAPS) or Health Services.

CAPS (for mental health related requests).

After completing the MLOA application, students requesting a mental health-related Medical Leave of Absence must visit the Medical Leave of Absence page of the CAPS website for next steps and additional information.

• Searle Hall
• 633 Emerson, Second floor
• Phone: 847-491-2151
• CAPS website

Health Service (for physical health related requests).

• Letter of support for leave from their managing physician (even if it is a Northwestern Medicine Student Health Service physician). The letter or additional documents should include:
  • Diagnosis and relevant medical history
  • Current treatment
  • Treatment plan for medical leave of absence period
  • Expected outcome of treatment during the medical leave of absence
  • Test results supporting the diagnosis
• Completed release of information to allow for communication from Northwestern Medicine Student Health Services to Northwestern University Dean of Students

Approximately 3-5 business days following the completion of Step 2, the student should hear from a Student Assistance and Support Services (SASS) staff member regarding an appointment.  If not, the student should contact the Dean of Students office for a medical leave of absence appointment with a member of the Student Assistance and Support Services (SASS) program.

Appointments cannot be scheduled until recommendations have been received.

• Dean of Students Office
• 601 University Place
• Scott Hall, Lower level
• Phone: 847-491-8430
• Dean of Students website

Students must work with either Counseling and Psychological Services (CAPS) or Health Services.

CAPS (for mental health related requests)

After completing the MLOA application, students requesting a mental health-related Medical Leave of Absence must visit the Medical Leave of Absence page of the CAPS website for next steps and additional information.

• Searle Hall
• 633 Emerson, Second floor
• Phone: 847-491-2151
• CAPS website

Health Service (for physical health related requests)

• Letter of support for leave from their managing physician (even if it is a Northwestern Medicine Student Health Service physician). The letter or additional documents should include:
  • Diagnosis and relevant medical history
  • Current treatment
  • Treatment plan for medical leave of absence period
  • Expected outcome of treatment during the medical leave of absence
  • Test results supporting the diagnosis
• Completed release of information to allow for communication from Northwestern Medicine Student Health Services to Northwestern University Dean of Students

This information can be submitted online through your MyChart (MyNM portal).
 
Northwestern Medicine Student Health Service will need all documents before a final determination for medical leave is granted. Recommendations are unable to be processed until all documentation is received. This can be a time sensitive request, so please allow enough time to gather all necessary documents.

Searle Hall
633 Emerson Street
Phone: 847-491-8100
Health Service website

Approximately 3-5 business days following the completion of Step 2, the student should hear from a Student Assistance and Support Services (SASS) staff member regarding an appointment.  If not, the student should contact the Dean of Students office for a medical leave of absence appointment with a member of the Student Assistance and Support Services (SASS) program.

Appointments cannot be scheduled until recommendations have been received.

Dean of Students Office
601 University Place
Scott Hall, Lower level
Phone: 847-491-8430
Dean of Students website

Students must work with either Counseling and Psychological Services (CAPS) or Health Services.


CAPS (for mental health related requests)

• Searle Hall
• 633 Emerson, Second floor
• Phone: 847-491-2151
• CAPS website

Health Service (for physical health related requests)

• Letter of support for leave from their managing physician (even if it is a Northwestern Medicine Student Health Service physician). The letter or additional documents should include:
  • Diagnosis and relevant medical history
  • Current treatment
  • Treatment plan for medical leave of absence period
  • Expected outcome of treatment during the medical leave of absence
  • Test results supporting the diagnosis
• Completed release of information to allow for communication from Northwestern Medicine Student Health Services to Northwestern University Dean of Students

This information can be submitted online through your MyChart (MyNM portal).
 
Northwestern Medicine Student Health Service will need all documents before a final determination for medical leave is granted. Recommendations are unable to be processed until all documentation is received. This can be a time sensitive request, so please allow enough time to gather all necessary documents.

Searle Hall 
633 Emerson Street
Phone: 847-491-8100
Health Service website

Approximately 3-5 business days following the completion of Step 2, the student should hear from a Student Assistance and Support Services (SASS) staff member regarding an appointment.  If not, the student should contact the Dean of Students office for a medical leave of absence appointment with a member of the Student Assistance and Support Services (SASS) program.

• Dean of Students Office
• 601 University Place
• Scott Hall, Lower level
• Phone: 847-491-8430
• Dean of Students website

Once all necessary approvals are obtained, TGS will update the student’s record to reflect that the student is on an approved medical leave of absence.