Single Dorm Room Request

Dear {college housing department}:

I am writing to request that my patient, {Student Name}, be placed in a single dorm room at no extra expense due to {sensory issues/learning disability/medical/social needs}.

{Student Name} has been diagnosed with {autism/dysgraphia/medical condition}. As a result, they {should avoid excess stimuli/must use voice recognition software/take multiple controlled medications that must be secured at all times}.

It is my professional judgment that {Student Name} stands the best chance of success at college in a single-room housing placement. I am confident that this living arrangement will still allow them to foster meaningful social relationships with peers.

Please don’t hesitate to reach out to me if you require further insight or documentation.

Sincerely,

{Doctor or Therapist Name}