Before you submit a formal Medical Leave of Absence (MLOA) request, it is important that you have information about the process and implications of taking a leave. That starts with reviewing the MLOA policy.

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:

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 below. – Students can submit the required forms with the initial meeting request or following the meeting. – Recommendations cannot 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. On Campus Providers

If you are working with a medical or mental health provider at Student Health Services (Danforth Campus) or Center for Counseling and Psychological Services, please ask them to complete the MLOA provider documentation. The first step would be to complete and upload the appropriate release of information form (hyperlinked above), to your student health portal, which allows them to share information related to your MLOA with the Leave Case Manager.


2. External provider

Ask your healthcare provider to complete the MLOA 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 are not currently connected with a healthcare provider, you can complete the MLOA personal statement and email it to the Medical Leave 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.