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Face Mask Medical Accommodation Request Dinwiddie County Public Schools 20212022 Student Information (To be completed by Parent×Guardian): Student Last Name:Student First Name:Date of Birth:Grade:Parent×Guardian
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How to fill out face mask medical accommodation

How to fill out face mask medical accommodation
01
Wash your hands thoroughly with soap and water before touching the face mask.
02
Ensure that the face mask is clean and free of any damage.
03
Hold the face mask by the ear loops or ties and place it over your nose and mouth.
04
Adjust the nose clip or mold the mask to fit snugly against your nose and face.
05
Secure the ear loops or ties behind your ears or around the back of your head.
06
Ensure that the mask covers your nose, mouth, and chin completely.
07
Avoid touching the face mask while using it. If you need to touch it, wash your hands immediately.
08
Remove the mask by untying the loops or unhooking the ear loops from behind your ears.
09
Avoid touching the front of the mask. Instead, grasp the ear loops or ties to remove it.
10
Dispose of the used face mask properly in a closed bin, or wash and sanitize it if it is reusable.
11
Wash your hands thoroughly with soap and water again after removing the mask.
Who needs face mask medical accommodation?
01
Face mask medical accommodation is necessary for individuals with medical conditions that prevent them from wearing a standard face mask.
02
This may include people with respiratory conditions, such as asthma or chronic obstructive pulmonary disease (COPD),
03
those with sensory sensitivities or disabilities, individuals who are unable to remove a mask without assistance, or those with facial deformities that make wearing a mask uncomfortable or ineffective.
04
Face mask medical accommodation is important to protect the health and well-being of these individuals while respecting their specific needs and challenges.
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What is face mask medical accommodation?
Face mask medical accommodation is a form or request made by individuals who have medical conditions that prevent them from wearing a face mask.
Who is required to file face mask medical accommodation?
Individuals with medical conditions that prevent them from wearing a face mask are required to file face mask medical accommodation.
How to fill out face mask medical accommodation?
To fill out face mask medical accommodation, individuals need to provide their personal information, details of their medical condition, and any supporting documentation from a healthcare provider.
What is the purpose of face mask medical accommodation?
The purpose of face mask medical accommodation is to provide an exemption for individuals with medical conditions that prevent them from wearing a face mask in certain situations.
What information must be reported on face mask medical accommodation?
Information such as personal details, medical condition details, and supporting documentation from a healthcare provider must be reported on face mask medical accommodation.
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