Kansas Request for Medical Status Evaluation Under ADA

State:
Multi-State
Control #:
US-315EM
Format:
Word; 
Rich Text
Instant download

Description

This form is submitted to an employee\'s physician in order for him or her to describe the diagnosis of the employee for purposes of certification.
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  • Preview Request for Medical Status Evaluation Under ADA
  • Preview Request for Medical Status Evaluation Under ADA
  • Preview Request for Medical Status Evaluation Under ADA
  • Preview Request for Medical Status Evaluation Under ADA
  • Preview Request for Medical Status Evaluation Under ADA

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FAQ

I work at (Company Name) as a (Your Job Title) and have been in this position since (Date). I am writing to request that you provide (list accommodation needed here) as a reasonable accommodation under the ADA.

EVALUATION/PLACEMENT PROCEDURES--The ADA does not specify evaluation and placement procedures; it does specify provision of reasonable accommodations for eligible students across educational activities and settings.

The ADA requires employers to treat any medical information obtained from a disability-related inquiry or medical examination (including medical information from voluntary health or wellness programs (9)), as well as any medical information voluntarily disclosed by an employee, as a confidential medical record.

Does the Americans with Disabilities Act (ADA) provide a list of conditions that are covered under the act?Deafness.Blindness.Diabetes.Cancer.Epilepsy.Intellectual disabilities.Partial or completely missing limbs.Mobility impairments requiring the use of a wheel chair.More items...

What Qualifies as an ADA Disability?AIDS, HIV and its symptoms.Asthma.Blindness or other visual impairments.Cancer.Cerebral palsy.Diabetes.Epilepsy.Heart Disease.More items...?

An individual with epilepsy, paralysis, a substantial hearing or visual impairment, mental retardation, or a learning disability would be covered, but an individual with a minor, nonchronic condition of short duration, such as a sprain, infection, or broken limb, generally would not be covered.

Under the Americans with Disabilities Act (ADA), a place of public accommodation like many businesses that are open to the public cannot discriminate against a customer or visitor on the basis of the individual's disability in the access and enjoyment of the business.

Under the ADA , you have a disability if you have a physical or mental impairment that substantially limits a major life activity. The ADA also protects you if you have a history of such a disability, or if an employer believes that you have such a disability, even if you don't.

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Kansas Request for Medical Status Evaluation Under ADA