Maryland ADA Questionnaire for Physician

State:
Multi-State
Control #:
US-250EM
Format:
Word; 
Rich Text
Instant download

Description

This questionnaire allows an employer to ascertain if an employee suffers from a disability under the ADA in order to make a reasonable accommodation.
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  • Preview ADA Questionnaire for Physician
  • Preview ADA Questionnaire for Physician
  • Preview ADA Questionnaire for Physician
  • Preview ADA Questionnaire for Physician
  • Preview ADA Questionnaire for Physician
  • Preview ADA Questionnaire for Physician

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FAQ

To be protected under the ADA, an individual must have a physical or mental impairment that substantially limits one or more major life activities, a record of such an impairment; or being regarded as having a substantial impairment.

An employer may ask if you can perform the essential functions of the job, with or without accommodations, but it is against the law to directly ask if you have any disabilities. Instead, it is up to you, the employee, whether or not to give this information.

This questionnaire is part of an interactive process that is necessary in order to determine if your patient (our employee) has a disability recognized under the Americans With Disabilities Act, and, if so, what, if any, reasonable accommodation(s) are necessary and can be made that would enable your patient to perform

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.

The Americans with Disabilities Act (ADA) prohibits discrimination against people with disabilities in several areas, including employment, transportation, public accommodations, communications and access to state and local government' programs and services.

When interviewing a person with disability, speak directly to that person and maintain eye contact rather than interacting directly with an interpreter or companion. Use the same interviewing techniques and manner that you usually do. Speak in relaxed, everyday tones.

What types of accommodations are generally considered reasonable?Change job tasks.Provide reserved parking.Improve accessibility in a work area.Change the presentation of tests and training materials.Provide or adjust a product, equipment, or software.Allow a flexible work schedule.More items...

The ADA does not name all of the impairments that are covered, but common examples of disabilities include wheelchair confinement, blindness, deafness, learning disabilities, and certain kinds of mental illness.

Top ADA Frequently Asked QuestionsWhat is the definition of disability under the ADA?What is considered an "undue hardship" for a reasonable accommodation?Is my building "grandfathered in" under the older ADA Standards or do I need to comply with the new 2010 ADA Standards for Accessible Design?More items...

What accommodations can I request?making existing facilities accessible.job restructuring.part-time or modified work schedules.acquiring or modifying equipment.changing tests, training materials, or policies.providing qualified readers or interpreters.reassignment to a vacant position.medical leave.More items...

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Maryland ADA Questionnaire for Physician