Five sentence summary:
If your professor refuses or changes your accommodation, start with the assumption that they don't realize their mistake or are unaware of what you need. Clarify what you need, remind them of the specific accommodation and that it has been approved, and refer them to your disability advisor or that office if they have questions. Send a follow-up email and document as much as you can in writing for your own record and if things turn sour. If your professor outright refuses, politely inform them what you are entitled to under the ADA and/or refer them to your disability office.
A few disclaimers here:
A professor can (wrongfully) deny your accommodation for a number of reasons. They can also decide they know better than the Disability Office or you and modify the accommodation to suit their needs, which is also illegal 98% of the time. Good professors want students to succeed and learn and they'll want to make sure you have what you need to succeed. At worst, you're well within your right to explain to them that they're violating your rights under the ADA but let's start assuming your professor isn't a jerk.
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Five sentence summary:
If you're denied accommodations, you don't have to accept this and give up. Deciding whether or not to escalate things means considering your health and what evidence you have, and your next steps will depend slightly on what options you've already taken. There are avenues inside your school and outside if you're denied an accommodation. Depending on the department you speak with and the process you take, resolving these conflicts can take weeks, months, or even years. They can also require a lot of your time and energy, so it is crucial to have a good support system.
If you're denied your accommodations or are discriminated against because of your disability, you don't have to give up and accept your fate. That said, fighting for your rights is just that, a fight. It is often exhausting, it can be demeaning, and retaliation is not unheard of. It can also take a lot of time. Professors violate the ADA all the time (on a related note, you should know how the ADA protects you).
Things to consider before proceeding
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