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A serious illness, injury, or mental health condition can make continuing college difficult or impossible. For an F-1 international student, however, taking medical leave involves more than following a school’s withdrawal procedures.

F-1 status depends on enrollment and compliance with federal immigration requirements. A student who stops attending classes or withdraws from school without addressing those requirements could unintentionally fall out of status.

For international students in Chicago and throughout Illinois, understanding the immigration consequences should be part of the decision before taking medical leave.

Medical Withdrawal and F-1 Status Are Separate Issues

A college or university may allow a student to take a medical leave of absence under its own academic policies. That approval does not automatically determine what happens to the student’s F-1 status.

Federal regulations provide a potential option for students who cannot maintain a full course of study because of a temporary illness or medical condition. A designated school official (DSO) may authorize a medical reduced course load based on documentation from an appropriate licensed medical professional.

Depending on the student’s condition, authorization may allow enrollment below the normal full-time requirement or, in some circumstances, no course load.

The important distinction is that the immigration authorization should be addressed before the student withdraws from classes.

Medical Withdrawal and F-1 Status

What Medical Documentation Is Required?

A DSO can authorize a medical reduced course load based on documentation from a licensed medical doctor, doctor of osteopathy, or clinical psychologist.

The documentation should support the need to reduce or temporarily discontinue the student’s studies because of the medical condition.

Authorization is generally granted for a limited period. If the medical condition continues, the student may need updated documentation and additional authorization. Federal regulations limit medical reduced-course-load authorization to an aggregate of 12 months at a particular program level.

What If You Need to Leave School Completely?

Not every medical withdrawal will be handled the same way.

A student who cannot continue the academic program may need to consider whether to remain in the United States under an authorized medical reduced course load or formally withdraw and depart the country.

This distinction matters because leaving a program can affect the student’s SEVIS record and plans for returning to school. Students should speak with their DSO before withdrawing and understand how the school intends to record the leave.

If departure from the United States becomes necessary, students should also determine what will be required to return and resume their studies.

Returning to School After Medical Leave

The return process depends on what happened to the student’s F-1 status and SEVIS record during the absence.

A student who remained in valid F-1 status under an authorized medical reduced course load may face different requirements from someone who withdrew, departed the United States, and later plans to return.

Before resuming school, students may need to coordinate with their DSO regarding enrollment, SEVIS documentation, travel, and any new Form I-20 requirements.

Planning can help prevent a medical leave from creating unexpected problems when the student is ready to return.

Do Not Wait Until After You Withdraw

Students facing health problems understandably focus first on getting the care they need. But withdrawing from courses before addressing F-1 requirements can create an additional immigration problem during an already difficult time.

Speaking with the DSO and, when necessary, obtaining immigration advice before making enrollment or travel decisions can help students understand their options.

Speak With an Illinois Immigration Attorney About Medical Leave

Medical circumstances can change quickly, and F-1 students should understand how taking time away from school may affect their immigration status.

At Kasturi Law, immigration attorney Shobhana Kasturi assists international students in Chicago and throughout Illinois with F-1 status concerns and other immigration matters.

Consultations are available in person, by phone, or via Zoom in a 30-minute or 60-minute meeting window. Contact Kasturi Law today to discuss how a medical withdrawal may affect your F-1 status and future studies in the United States.