ADHD Accommodations Checklist for College Students

WADHD Accommodations Checklist for College Students

College moves fast, and ADHD can make it feel like you’re working twice as hard just to stay afloat. Academic accommodations give you a fair shot at demonstrating your strengths by easing the symptoms that interfere with focus, planning, and performance. To prepare for academic challenges in college, it’s important to understand which ADHD accommodations you need and how to request them.

ADHD Accommodations that College Students Can Request

College demands sustained focus, organization, and follow-through, which can feel overwhelming when you’re managing untreated or newly recognized ADHD. The right accommodations remove barriers that make it harder for you to show what you’re truly capable of.

Testing Accommodations

Many adults with ADHD perform far better when testing environments remove unnecessary pressure and distraction. These accommodations help you show what you actually know, not how quickly you can work under stress.

Testing Accommodations

AccommodationHow It Helps
Extended time on examsGives you space to work through questions without racing the clock or fighting ADHD-related time pressure.
Reduced-distraction testing environmentAllows you to take exams in a quiet room without the noise and movement of a large lecture hall.
Permission to use scratch paperHelps you externalize your thinking, organize steps, and break down complex problems.
Breaks during long examsLets you reset your focus during extended test sessions.

Classroom Accommodations

These supports reduce the load of trying to track everything at once, allowing you to stay engaged and absorb information more effectively during lectures.

Classroom Accommodations

AccommodationHow It Helps
Audio recordings of lecturesProvides a reliable backup when attention drifts so you can review material later.
Note-taking assistanceGives you organized, accurate notes so you can focus on understanding rather than writing.
Preferential seatingReduces distraction by placing you in a location where attention is most stable.
Permission to use a laptopHelps you keep pace with fast lectures if typing is easier than handwriting.

Assignment Accommodations

When executive function challenges make planning, starting, or completing work harder, assignment-related accommodations can provide structure and reduce overwhelm.

Assignment Accommodations

AccommodationHow It Helps
Extended deadlinesOffers flexibility when initiation or organizational barriers slow your work.
Assignment remindersHelps you stay on track when managing multiple deadlines is difficult.
Breaking large projects into smaller milestonesMakes complex tasks more manageable and reduces procrastination.

Other Helpful Accommodations

Some accommodations don’t fall neatly into classroom or testing categories but still make a significant difference in organization and well-being.

Other Accommodations

AccommodationHow It Helps
Priority registrationLets you choose a schedule that works with your ADHD, avoiding early mornings or high-load days.
Reduced course loadAllows you to take fewer classes while maintaining full-time status for financial aid.
Excused absences for medical appointmentsSupports ongoing ADHD treatment without academic penalties.

Guided Checklist for Requesting ADHD Accommodations in College

Colleges have dedicated systems to ensure you receive the support you need, and each step helps translate your diagnosis into practical academic tools. Here’s an overview of how to move through the process with clarity and confidence.

Step 1: Contact Your Disability Services Office

Every college has an office that coordinates accommodations for students with disabilities. It might be called Disability Services, Student Accessibility Services, or something similar.

Recommended Practice
Reach out as early as possible, ideally before the semester begins. Early contact ensures there’s enough time for documentation review and allows accommodations to be activated before assignments and exams start.

Step 2: Submit Documentation

You’ll need documentation of your ADHD diagnosis. This typically includes:

  • A formal diagnostic report from a qualified healthcare provider
  • Evidence of how ADHD impacts your academic functioning
  • Recent documentation (usually within the past 3 to 5 years)
Recommended Practice
Provide the most recent and comprehensive diagnostic materials available. Colleges are more likely to approve appropriate accommodations when documentation clearly outlines functional impairment and current academic impact. If the documentation is older, consider clarifying your current symptoms with your clinician.

Step 3: Meet With a Coordinator

Once your documentation is reviewed, you’ll meet with a disability services coordinator to discuss which accommodations make sense for your needs. This is your chance to explain exactly how ADHD affects your academics.

Recommended Practice
Prepare specific examples of how ADHD affects your coursework, exams, and daily academic functioning. Coordinators make decisions based on functional impairment, so concrete descriptions help ensure you receive accommodations that meaningfully address your needs.

Step 4: Communicate With Your Professors

After your accommodations are approved, you’ll receive an accommodation letter to share with each professor. You’re responsible for giving this to your instructors at the start of each semester and discussing how accommodations will work in their specific class.

Recommended Practice
Discuss implementation details before challenges arise. Clear, proactive communication supports smooth integration of accommodations and reduces the likelihood of misunderstandings later in the semester.

Tips for Making Accommodations Work for You

Getting accommodations approved is just the first step. Here’s how to make sure they actually help:

  • Be proactive. Don’t wait until you’re struggling to use your accommodations. Share your letter with professors right away, even if you’re not sure you’ll need every accommodation.
  • Communicate clearly. If an accommodation isn’t working as expected, talk to your professor or disability services coordinator. Adjustments can often be made.
  • Use them consistently. Accommodations work best when you use them regularly, not just during crisis moments. If you have extended time, use it. If you can record lectures, do it.
  • Combine accommodations with other strategies. Accommodations help, but they work best alongside treatment, study strategies, and support systems.

About Dr. Aaron Winkler

Dr. Aaron Winkler is a board-certified psychiatrist and nationally recognized expert in adult ADHD. As the founder of the Stanford Adult ADHD Clinic and a member of the APSARD National Guidelines Taskforce, he brings deep clinical insight into how ADHD affects college students.

His approach goes beyond symptom management, offering individualized care that supports real growth, emotional clarity, and long-term resilience. Dr. Winkler’s work is grounded in the belief that meaningful change happens when treatment honors both your strengths and the challenges you’ve carried for years.

Learn More About Dr. Winkler

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