Before you submit a formal MLOA request, it is important that you have information about the process and implications of taking a leave. Please send an email to the Medical Leaves Coordinator and/or make an appointment.

This contact can help you identify logistical steps you may need to take as you leave the university. At that meeting you will review guidelines, policies, and expectations for taking a leave and returning.

Any student considering a MLOA

It is the student’s responsibility to understand any relevant implications regarding registration, grading, tuition, financial aid or immigration. Depending on your situation, you should plan to consult with one or more of the following about the amount of time available for MLOA and the conditions for return from MLOA:

  • Disability Resources
  • Habif Health & Wellness Center (all care providers)
  • Academic advisors
  • Student Financial Services
  • For international students:
    • If you are planning to stay in the U.S., or if you want to maintain your F-1 student visa status while you are on leave, you will need to obtain the HMLOA documentation from a licensed medical doctor, doctor of osteopathy, psychiatrist, clinical psychologist, or psychologist.
    • It is important that you talk with an immigration advisor in the Office of International Students and Scholars [link new website] about the impact of HMLOA on your visa status.
  • For Graduate Students:
    • Graduate School assistant dean of student life
    • Director of Graduate Studies
    • Graduate Field Assistant

Steps to take a medical leave of absence

Once you have determined that you would like to request a Medical Leave of Absence (MLOA), please follow these steps. Students can submit the required forms with the initial meeting request or following the meeting. Please understand, no recommendation can be forwarded to your respective school or program until all three forms have been completed, returned, and reviewed by the MLOA Committee.

Step 1. Request MLOA

You must read and and acknowledge by signing that you understand the terms and conditions of the MLOA policy. Then complete the Time Away Form. Be sure to note which policies apply to undergraduate vs. graduate students.


MLOA Policy

Undergraduates and graduate students: carefully read, download and then sign the MLOA policy.


Time Away Form

All students wishing to take a leave must complete this form to begin the process.


Step 2. Information about the medical/mental health reason for leave

All students will need to provide information about the medical/medical health reason for which they need a leave of absence within five business days of your MLOA request. There are three documentation options, which are listed below. Only one of the following forms of MLOA documentation is required. All documentation must be written in English from the medical provider or translated by a licensed professional translation service.


1. Habif Health & Wellness or Counseling & Psychological Services

If you are working with a medical or mental health provider at Habif or CCPS, you can ask them to complete the MLOA documentation.

You will need to complete and upload the release of information to the Student Health Portal to allow Habif/CCPS to share information related to your MLOA with the Leave Case Manager.


2. External provider

Ask your healthcare provider to complete the MLOA reason for leave provider documentation in pdf format and return it to the Medical Leaves Coordinator by fax or email.

  • Fax: 314-970-9093

3. Personal statement

If you have not been working with a healthcare provider, or if you will not be able to obtain documentation within five business days, you can complete the MLOA reason for leave personal statement in pdf format and email it to the Medical Leaves Coordinator

MLOA documentation upon return from leave

  • Is referenced during the return from leave process
  • MLOA Committee will confirm that the reasons for leave has been addressed in the documentation of fitness to return

Step 3:  administrative and academic processes

If an MLOA is recommended, the MLOA Committee will send a letter of recommendation, including recommended effective date, to the student’s School. The school will make the final decision and notify the student and campus partners in writing of its determination. The designated School official will inform the student of the status of their current coursework, withdrawal from classes, and conditions for reinstatement.

Your college/school may place academic conditions on your return based on curriculum sequencing, time to degree requirements, or academic actions that will be determined and communicated to you by the end of the term.

Deadlines to request a health leave of absence

Students must submit all necessary paperwork, including approval from their School or department, no later than the last day of classes by 5 p.m. to allow their school to determine the outcome of an MLOA request for for the current semester. Any request submitted beyond this deadline will be considered for the following semester.

Duration of medical leave of absence

The following conditions apply.

  • You may not return from a leave within the semester that the leave was taken. 
  • The duration of the leave will depend upon the time you need for treatment and/or recovery and the resolution of academic conditions.
  • Two year maximum leave, if the student’s treatment extends beyond two years, the student will be “withdrawn” from their program and the student will need to submit an application for re-entry.

While on Medical Leave of Absence

You will not be a registered student and this impacts your access to university services.

Staying in touch with staff, faculty, and other students can help you maintain your ties to Wash U and prepare to resume your studies.


The Leave Case Manager and your school’s student services office or graduate program directory are key resources to help you stay connected and find answers to your questions.