Medical Leave of Absence

This form is to be completed by students requesting a Voluntary Medical Leave of Absence‌ (MLOA) from Drake University and, at the student’s discretion, may be provided to any one of the following individuals:

1. The Associate Dean of the College in which the student has most recently enrolled (“Associate Dean”)
2. The Drake University Counseling Center (“Counseling Center”)
3. The Drake University Student Health Center (“Health Center”)