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Reasonable Accommodation Medical Request Intake 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 reasonable accommodation medical request
How to fill out reasonable accommodation medical request
01
Contact your human resources department or supervisor to request a reasonable accommodation medical request form.
02
Complete the form accurately, including details about your condition and how it may affect your ability to perform job duties.
03
Provide supporting documentation from a healthcare provider, such as a doctor's note or medical records, outlining your medical condition and recommended accommodations.
04
Submit the completed form and supporting documentation to the appropriate party within your organization for review and approval.
Who needs reasonable accommodation medical request?
01
Employees with disabilities or medical conditions that may impact their ability to perform job duties.
02
Individuals seeking accommodations to ensure equal access and opportunity in the workplace.
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What is reasonable accommodation medical request?
Reasonable accommodation medical request is a formal request made by an individual with a disability to their employer for adjustments or modifications to their job or workplace in order to perform essential job functions.
Who is required to file reasonable accommodation medical request?
An individual with a disability who requires accommodations to perform essential job functions is required to file a reasonable accommodation medical request.
How to fill out reasonable accommodation medical request?
To fill out a reasonable accommodation medical request, the individual should provide detailed information about their disability, limitations, requested accommodations, and supporting documentation from a medical professional.
What is the purpose of reasonable accommodation medical request?
The purpose of a reasonable accommodation medical request is to provide individuals with disabilities equal opportunities in the workplace by removing barriers to job performance.
What information must be reported on reasonable accommodation medical request?
The reasonable accommodation medical request should include information about the nature of the disability, how it affects job performance, requested accommodations, and supporting documentation from a medical professional.
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