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UGA Logo TEXT-ONLY VERSION THE UNIVERSITY OF GEORGIA DIVISION OF STUDENT AFFAIRS DISABILITY RESOURCE CENTER

Contact Request

If you would like to speak with someone prior to registering for services with the Disability Resource Center, please complete and submit this form, and you will be contacted by a Disability Specialist.

First Name:
Middle Name:
Last Name:
Preferred Name:
Status (Choose one): Current Student
Prospective Student
Local Phone:
Address:
 
City:
State:      Zip:    
If UGA student,
UGA Email adress:
Other Email Address: