Temporary Medical Parking Application
Medical Parking requires a note from your doctor indicating the need for special accommodations. Please e-mail a copy of your doctor's note to
upon completion of this form.
First and Last Name
Regent E-mail Address
Reason For Medical Parking Request
How long is medical parking required?
Terms & Conditions
I have read and agree to terms of the Temporary Medical Parking Policy located at www.regent.edu/admin/stusrv/parking_app/medical_parking.
Terms of Service