Este cuestionario le permite a un empleador determinar si un empleado sufre una discapacidad según la ADA para poder realizar una adaptación razonable.
Para su conveniencia, debajo del texto en español le brindamos la versión completa de este formulario en inglés.
For your convenience, the complete English version of this form is attached below the Spanish version.
Once you submit it, your employer or organization will review the information to determine what accommodations can be provided to support you.
Definitely! Your physician is there to help you out, so don’t hesitate to ask them questions or seek clarification on anything.
It varies from person to person, but it generally takes about 15 to 30 minutes. Just take your time and answer honestly!
Absolutely! The details you provide in the ADA Questionnaire are protected by privacy laws, keeping your information safe and sound.
The questionnaire usually covers details about the disability, how it impacts daily life, and any adjustments that might help in the workplace.
Typically, it's filled out by people who are requesting accommodations due to a disability, so their doctors can provide the necessary information.
The ADA Questionnaire for Physicians is a form that helps doctors assess how a person's disability may affect their ability to work or perform daily activities.
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Anchorage Alaska Cuestionario de la ADA para médicos