How do I advocate for accommodations at university or college?

Securing a late-stage diagnosis as an adult—whether for ADHD, a learning disability, or Autism —can be incredibly validating. If you are entering or currently enrolled in higher education, your psychological report is the practical tool required to unlock essential academic accommodations.

Here is exactly how to navigate your campus accessibility office to secure your supports smoothly and privately.

Step 1: Verify Functional Limitations Before You Share

Before submitting your report to your university or college, check that your psychologist has explicitly detailed your practical challenges within the report itself. Accessibility offices do not grant accommodations based on a diagnostic label alone; they require documented proof of how your cognitive profile impacts your learning.

Make sure your report clearly outlines:

  • Functional Limitations: The specific ways your brain processes and organizes information under academic stress.
  • Practical Impacts: Direct connections showing how a vulnerability (like working memory or processing speed) affects your ability to complete timed exams, manage heavy reading loads, or follow rapid lectures.

Step 2: Initiating the Intake Process

Once you have confirmed that your report contains these necessary details, you can initiate the process with your school’s dedicated department (typically called Student Accessibility Services, AccessAbility, or the Centre for Accessible Learning).

  • Submit the Intake Form: Locate your school’s accessibility portal online and complete their secure intake form to enter their queue.
  • Securely Share the Report: You will be prompted to share your completed psychological assessment report. Ensure that these portals are strictly confidential and comply with health information privacy laws.
  • Interim Support: If you have an upcoming exam deadline but are still waiting for your final report or a scheduled intake meeting, contact the office immediately. Most universities will put temporary, interim accommodations in place while your official paperwork is being processed.

Step 3: The Accessibility Advisor Meeting

Once your documents are processed, you will meet with an Accessibility Advisor to collaborate on your formal accommodation plan:

  • Reviewing Barriers: You and your advisor will look at the psychologist’s explicit recommendations (such as extra time on exams, note-taking technology, memory aids, or a reduced course load).
  • Lived Experience: The advisor will ask about your personal academic history and what specific institutional barriers you experience during day-to-day studies.
  • The Letter of Accommodation: Together, you will finalize a formal plan detailing your approved adjustments, which is then used to notify your professors.

Step 4: Protecting Your Privacy and Dispelling Stigma

A major hurdle for adults seeking a late-stage diagnosis is the fear of stigma or being viewed differently by peers and professors. The post-secondary accessibility system is explicitly engineered with strict privacy firewalls to protect you:

  • The Professor’s View: When your instructors receive your Letter of Accommodation, they only see a list of the structural adjustments you are entitled to (e.g., “This student requires 50% additional time and a separate, quiet room for exams”). They do not see the clinical cause behind it.
  • The Academic Record: Your registration with accessibility services and your private clinical diagnosis never appear on your transcripts, your GPA sheets, or your graduation diploma.

About the Author:

Dr. Amanda McKerracher, CPsych is a Registered Psychologist and the Psychology Assessment Lead at the Toronto Psychology Clinic in Toronto, Ontario. 

She offers assessments for children, teens, and adults. 

At the Toronto Psychology Clinic, our psychologists are highly experienced with a strong track record of providing comprehensive adult assessments for post-secondary accommodations — whether you are entering higher education or need to update documentation for campus accessibility services.

To move forward, contact the Toronto Psychology Clinic today at 416-551-1759 ext.2 or intake@torontopsychology.com to schedule an intake call and book your assessment.

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