Sample Medical RCL Certification Letter

You may use the example below as a guide for your medical provider to issue you a letter supporting your request for a Medical Reduced Course Load.

Your original letter must be on official letterhead, and signed by a licensed Medical Doctor (MD), Doctor of Osteopathy (DO), Psychiatrist or Clinical Psychologist. The letter should be issued no more than 30 days before the start of the semester for which the underload is requested

Replace the bracketed text with your information.

[Date]

To Whom It May Concern:

I certify [Student’s Full Name] is compelled by illness or other medical condition to:

____ be excused from all classes (zero credits)

OR

____ reduce their course of study.

Recommended number of credits: _______

This recommendation is for the _____________ ___________ semester.
                                                               [Fall/Spring]   [Year]

Sincerely,

_____________________________________
Original Signature of Treating MD, DO or CP

______________________________________
U.S. License Number