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Get the free UMBC ADA MEDICAL INQUIRY FORM - University of Maryland, Baltimore County

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TEMPORARY DISABILITY FORM Student Name:Does the student have a physical or mental impairment requiring accommodations? Lenoir yes, what is the impairment or temporary disabling condition (or injury)
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How to fill out umbc ada medical inquiry

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How to fill out umbc ada medical inquiry

01
Obtain the ADA Medical Inquiry form from the UMBC Disability Services office.
02
Fill out the personal information section with your name, address, phone number, and email.
03
Provide information about your disability or medical condition, including how it impacts your daily life and any accommodations you may need.
04
Have your healthcare provider fill out the healthcare provider section, including diagnosis and recommended accommodations.
05
Return the completed form to the UMBC Disability Services office for review and accommodation planning.

Who needs umbc ada medical inquiry?

01
Individuals with disabilities or medical conditions who require accommodations at UMBC.
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UMB ADA medical inquiry is a form used to collect medical information from individuals requesting accommodations under the Americans with Disabilities Act (ADA) at the University of Maryland, Baltimore County (UMBC).
Any individual requesting accommodations under the ADA at UMBC is required to file the ADA medical inquiry form.
To fill out the ADA medical inquiry form, individuals must provide detailed medical information related to their disability and how it impacts major life activities. The form can be accessed from the UMBC website and submitted to the appropriate office.
The purpose of the ADA medical inquiry form is to gather necessary medical information to assess and provide appropriate accommodations for individuals with disabilities in accordance with the ADA.
The ADA medical inquiry form requires individuals to report their medical diagnosis, limitations related to their disability, and specific accommodations requested. Additionally, individuals may need to provide medical documentation supporting their disability.
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