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University Student Housing MEDICAL HARDSHIP ADDENDUM In the event that a student presents sufficient evidence of an extreme medical hardship for which on campus accommodations cannot reasonably be made,

How to fill out medical hardship addendum

How to fill out a medical hardship addendum:

1. Gather all necessary documents: Before filling out the medical hardship addendum, make sure you have all the required documentation, such as medical reports, bills, and any other supporting evidence related to your medical condition.
2. Contact your healthcare provider: Reach out to your healthcare provider and explain that you need a medical hardship addendum. They may have specific forms or guidelines for you to follow.
3. Obtain the medical hardship addendum form: If your healthcare provider does not have a specific form, you can find generic medical hardship addendum templates online or ask your provider if they have a preferred template. Ensure that the form you choose is recognized and accepted by the relevant institution or organization.
4. Provide your personal information: Start by filling out your personal information accurately. This may include your name, contact information, date of birth, and social security number.
5. Explain your medical condition: In the addendum, clearly describe your medical condition and its impact on your ability to meet financial obligations. Be detailed and provide any relevant medical history, diagnoses, treatments, and prognosis.
6. Describe the financial hardship: Alongside your medical information, explain the financial challenges that your medical condition has caused. This could include medical expenses, loss of income, or other financial burdens. Be specific and provide supporting documents, such as medical bills or income statements.
7. Include any additional supporting documents: If there are any additional documents that can support your case, such as a letter from your healthcare provider or medical records, make sure to include them with your addendum.
8. Review and proofread: Before submitting the addendum, carefully review all the information provided. Check for any errors or missing details. It is crucial to ensure that all the information you have provided is accurate, complete, and well-presented.
9. Submit the addendum: Once you have completed the addendum and gathered all relevant supporting documents, submit them to the appropriate authority or organization. This may be a medical billing department, an insurance company, or any other entity requesting the addendum.

Who needs a medical hardship addendum?

A medical hardship addendum may be required by individuals facing financial difficulties due to a medical condition. This can include patients unable to meet medical bill payments, insurance claims, or other financial obligations directly related to their healthcare. It is common for healthcare providers, insurance companies, or billing departments to request a medical hardship addendum to assess and evaluate the individual's circumstances before considering any financial assistance or adjustments.

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What is medical hardship addendum?

Medical hardship addendum is a document that provides additional medical information to support a request for special consideration or accommodations.

Who is required to file medical hardship addendum?

Individuals who have a medical condition that impacts their ability to meet certain requirements may be required to file a medical hardship addendum.

How to fill out medical hardship addendum?

To fill out a medical hardship addendum, individuals must provide detailed information about their medical condition, how it impacts their ability to meet requirements, and any accommodations or special considerations needed.

What is the purpose of medical hardship addendum?

The purpose of a medical hardship addendum is to provide additional information to support a request for special consideration or accommodations based on a medical condition.

What information must be reported on medical hardship addendum?

Information that must be reported on a medical hardship addendum includes the medical condition, how it impacts the individual's ability to meet requirements, and any accommodations or special considerations needed.