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Get IA Request for Courtesy Accommodation for Health-Related Conditions

Ions Complete this form to request any of the following arrangements to address a health-related condition: Permission to bring an assistive device (such as diabetic supplies, a lumbar support, or breast pumping supplies) into the secure exam area. Special seating in the exam room. Special arrangements for lactating mothers. Deliver your completed Request, with medical documentation, to the Board by e-mail, fax, or mail. You must submit a new Request for each Exam. Name: Exam Date:.

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