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Here is some information about taking a Medical Leave of Absence (MLOA) for mental health reasons from Georgetown University.

• Advantages of an MLOA
• How does an MLOA work?
• Form requesting a recommendation for an MLOA (valid only in combination with an assessment at and endorsement from CAPS)

Materials required for a return from MLOA (the linked forms identified below are in PDF format):

• Release of Information:
  • Please see our instructions on how to properly fill it out.
  • This is used to allow CAPS to share information with your local community treatment providers (e.g. your therapist and/or your psychiatrist) and your Dean.
  • Different forms may be required to allow your treatment providers to share information with CAPS (ask them, since form type depends on what state you are in).
• Community Provider Report Form
  •  To be filled out by your treating clinicians and returned to CAPS.
• Letters of reference need to be written on an employer's letterhead stationery, and must be signed, dated, and list the dates of service, hours per week, attendance record, and the nature and quality of the work.  In cases where courses taken elsewhere during the course of the leave have been approved by the dean, please submit an official transcript.
• Materials can be mailed or faxed to CAPS (contact info).  If faxed, please also mail the original to our office.
• Student Checklist for Returning from an MLOA