Petition for Exception to Academic Policy

An academic coordinator or similar program administrator should complete this form on behalf of the student.


All forms are reviewed by the Associate Dean of Graduate Studies and then sent to the OHSU Office of the Registrar for official review and approval. Please note that this process can take 6-8 weeks to be completed.


If you have questions about this form, please contact somgrad@ohsu.edu.

Your contact information

Your name


Student information

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Exception Request

Please note, if you are attempting to transfer courses, we have a separate form for that.

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If any courses are involved in this exception request, please list them below

This is the date by which the SoM must process this petition in order for the student to stay on track to graduate.

If there are any documents that would assist in evaluating the exception request, please upload them here.

Drag and drop files here or