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Boston University Equal Opportunity Office 888 Commonwealth Ave., Suite 303 Boston, Massachusetts 02215 T 6173536474 F 8336010856 www.bu.edu/eooRequest for Information for ADA Reasonable Accommodations
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To fill out a request for medical information for ADA accommodation, follow these steps:
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Begin by stating your intention to request medical information for ADA accommodation.
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Provide your personal information, including your full name, contact information, and any applicable employee or student identification number.
04
Clearly state the accommodation you are requesting and how it relates to your disability.
05
Explain the limitations or challenges you face due to your disability and how the requested accommodation will address those limitations.
06
Specify the information you are seeking from the healthcare provider, such as medical history, diagnosis, prognosis, or recommended accommodations.
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Ensure that the request is signed and dated.
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If necessary, include any additional documentation or supporting materials.
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Submit the request to the appropriate person or department following the preferred method of delivery (e.g., mail, email, online form).
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Keep a copy of the request for your records.
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Follow up with the recipient if you do not receive a response within a reasonable timeframe.

Who needs request-for-medical-information-for-ada-accommodation?

01
A request for medical information for ADA accommodation is typically needed by individuals who have a disability and require reasonable accommodations in various settings such as workplaces, educational institutions, or public facilities.
02
These individuals may need to submit this request in order to provide proper documentation and evidence of their disability to request and receive appropriate accommodations under the Americans with Disabilities Act (ADA).
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A request for medical information for ADA accommodation is a formal process where an individual with a disability seeks documentation from a medical professional to support their need for reasonable accommodations under the Americans with Disabilities Act (ADA).
Individuals seeking accommodations for a disability in the workplace, educational institutions, or public services under the ADA are required to file a request for medical information.
To fill out the request, an individual typically needs to provide their personal information, details of their disability, the specific accommodations being requested, and the contact information for the medical professional providing the needed documentation.
The purpose is to provide necessary medical documentation that substantiates the individual's disability and the need for reasonable accommodations to ensure equal access and opportunities.
The report must include the individual's name, description of the disability, specific accommodations needed, and any relevant medical history or notes from the healthcare provider.
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