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Online Request for an appointment

(we will contact you by phone to confirm)
Regular Office Hours
Monday - Thursday:
9 a.m. - 6 p.m. 
9 a.m. - 4 p.m.

Student Name:

Student Email:

Phone number you may be reached at:

Student Number:

Preferred time of the day:
Morning     Afternoon     Evening

Preferred Day of the Week:
Monday     Tuesday     Wednesday     Thursday     Friday

Request an appointment with:

Questions or Comments:

Note: This form also applies for counseling appointments.

Office of Disability Support Services at Lansing Community College

Disability Support Services
Continental Bldg, Room 111
Phone: (517) 483-1924
Additional contact information »