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Reasonable Accommodation Healthcare Provider Form Vanderbilt University Medical Center (SUMC) provides reasonable accommodation(s) to qualified employees with disabilities. SUMC complies with the

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How to fill out medical reasonable accommodation request

01

Obtain the necessary accommodation request form from your employer or HR department.

02

Fill out your personal information including name, contact information, and job title.

03

Provide details about your medical condition that require accommodation, including symptoms and limitations.

04

Specify the exact accommodation you are requesting, such as modified work hours, equipment, or a quieter workspace.

05

Attach any supporting documentation from your healthcare provider, if necessary.

06

Submit the completed form to the appropriate person or department for review and approval.

Who needs medical reasonable accommodation request?

01

Employees who have a medical condition that requires accommodations in the workplace.

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What is medical reasonable accommodation request?

A medical reasonable accommodation request is a formal request made by an individual with a disability to their employer for changes or adjustments to their job or workplace in order to accommodate their medical condition.

Who is required to file medical reasonable accommodation request?

Any individual with a disability who needs accommodations to perform their job duties effectively is required to file a medical reasonable accommodation request.

How to fill out medical reasonable accommodation request?

To fill out a medical reasonable accommodation request, the individual should provide information about their medical condition, the limitations it imposes on their ability to perform job duties, and proposed accommodations that would enable them to effectively perform their job.

What is the purpose of medical reasonable accommodation request?

The purpose of a medical reasonable accommodation request is to ensure that individuals with disabilities have equal opportunities in the workplace by providing necessary accommodations to enable them to perform their job duties effectively.

What information must be reported on medical reasonable accommodation request?

The medical reasonable accommodation request should include information about the individual's medical condition, limitations it imposes on job performance, and proposed accommodations.

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