Meal Plan Accommodation Request Form
Please submit your Meal Accommodation Request Form below. For additional information regarding on-campus services and general nutrition, please visit Dining Services’ website at https://basc1.org/eat/dietary-information/special-dietary-needs
Disability documentation to establish eligibility for a reasonable accommodation is required. Please submit supporting documentation to Hazen Center for Integrated Care Attn: Lynne Maier via fax at (585)-395-2559 or upload to the "My Hazen" student portal located at https://www.brockport.edu/life/health_center/
Documentation should meet all requirements outlined in section 3 of the Meal Plan Accommodation Process (https://basc1.org/eat/dietary-information/special-dietary-needs/20-eat-section/208-meal-plan-accommodation-request).