STEP 1: Complete an application
Use this link to complete the electronic version of our application (please be sure to have access to your Peralta student portal)
If you cannot complete the electronic application, CLICK HERE for the fillable PDF version. Complete the application and email it to SAS.Laney@peralta.edu.
STEP 2: Provide verification of your disability or medical diagnosis.
You can upload this during the electronic application process, or email it directly to us at SAS.Laney@peralta.edu
Documentation verifying a disability may include, but is not limited to:
- High school special education plans (IEPs)
- 504 Plans
- Medical records or reports;
- Psychological evaluations or assessments;
- LD testing from another California community college.
- Department of Rehabilitation Plan
Use these forms if you are requesting verification from a health care provider:
Medical Verification Form
Psychological Verification
If you think you have a disability but do not currently have documentation, please complete the application and send it our way! You can discuss your situation with a counselor.
After we receive your information, we will reach out to book you an appointment with a counselor! We see students in-person, virtually or by phone.
For Returning Students:
You can use ConexED to book an appointment for your accommodations, or contact us at (510) 464-3428 or SAS.Laney@peralta.edu.
Additional Forms:
SAS Release of Information
FAMILY EDUCATIONAL RIGHTS AND PRIVACY ACT (FERPA)
