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Student Disability Resource Center

Student Referral Form

Please use this form if you are concerned about a student or feel that they could benefit from accommodations. If this is an emergency, please call USC PD at (803) 777-4215 or call 911. 

Referral Form

*Required fields

Student of Concern

Begins with a letter (EX: A123456)

(MM-DD-YYYY)

Personal, emotional, or behavioral concerns for this student. Please check all that apply.

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