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Midwifery Credentialing P.O. Box 47877 Olympia, WA 985047877 3602364700Disability Accommodation Request information requested below and any documentation regarding your disability and your need for

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How to fill out midwife- disability accommodation request

01

Obtain the midwife-disability accommodation request form from the appropriate medical provider or facility.

02

Fill out all required personal information such as name, contact information, and date of birth.

03

Clearly state the disability for which you are requesting accommodation and how it impacts your ability to receive midwifery care.

04

Provide any necessary documentation or medical records supporting your accommodation request.

05

Submit the completed form and supporting documents to the designated contact person or office at the medical provider or facility.

Who needs midwife- disability accommodation request?

01

Individuals with disabilities who require accommodations in order to receive midwifery care.

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What is midwife- disability accommodation request?

The midwife- disability accommodation request is a formal request made by a midwife who requires accommodations due to a disability.

Who is required to file midwife- disability accommodation request?

Any midwife who has a disability and requires accommodations to perform their duties.

How to fill out midwife- disability accommodation request?

The midwife must complete the request form provided by their employer or regulatory body, and provide any necessary documentation supporting their need for accommodations.

What is the purpose of midwife- disability accommodation request?

The purpose of the request is to ensure that midwives with disabilities are provided with the necessary accommodations to perform their job duties effectively.

What information must be reported on midwife- disability accommodation request?

The request should include information about the nature of the disability, the specific accommodations needed, and any relevant medical documentation.

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