Office of International Student Services♦Liberty University, 1971 University Blvd., Lynchburg, VA 24515
Phone (434) 592-4118♦Fax (434) 582-2969♦mystatus@liberty.edu♦ www.liberty.edu/international
Updated 3/8/2017
Medical Recommendation for Reduced Course Load
for F-1 International Students
General Information:
An F-1 student with documented medical conditions may be permitted to take either a reduced course
load or no courses at all. To request this, you must provide medical documentation from a licensed
medical doctor, doctor of osteopathy or licensed clinical psychologist. If you have already had 12
months or more of reduced course load for medical reasons, you are not allowed additional part-time
study based on a medical condition until advancing to the next program level. In addition,
authorization for one semester does not automatically carry over to the next. You must request a
reduced course load each semester as needed.
***NOTE: Full-time enrollment is required for scholarships to post even if a Medical RCL is
approved***
To Be Filled Out By Student:
Student Name: ____________________________________ LU ID: __________________
Email Address: _____________________________ Cell Phone Number: ___________________
Current Level: _____ Institute ____Bachelor’s ____Master’s _____Doctorate
Current Degree Program: _____________________________________________________________
Semester you wish to Reduce Course Load (RCL): ____Fall ____Spring 20_____Year
Please check below
□ I confirm that I am in need of a reduced course-load for medical reasons (Medical RCL). I
understand that if I am granted a Medical RCL, it is for one semester only and that I must re-
apply for any additional fall or spring semesters that may be applicable.
Signature of student____________________________________________
To be completed by a Physician:
Name: ____________________________________________________________________________
Name of Clinic: ____________________________________________________________________
Clinic address: ______________________________________________State: _______Zip:________
Clinic Phone number of attending Physician: ______________________________________________
Instructions to attending physician:
You have been given this form by an international student studying at Liberty University on F-1
(Student) Visa Status. Federal regulations enforced by the U.S. Citizenship and Immigration Services
determine when an international student may drop below full-time enrollment due to medical issues.
click to sign
signature
click to edit
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