Medical schools may vary in the specific manner in which they arrange for accommodations, determine eligibility, and deliver services to students with disabilities. Most institutions, however, follow similar procedures and guidelines for students to request academic and clinical accommodations. The following describes two protocols, representative of the way many schools handle such requests. We strongly encourage schools to assign the decision-making responsibility for disability accommodations to one designated person or office that includes a well-trained disability services counselor rather than relying on a faculty committee, for the reasons described below.