North Carolina ADA Questionnaire for Physician

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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

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.

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.

Yes. An employer cannot ask for documentation when: (1) both the disability and the need for reasonable accommodation are obvious, or (2) the individual has already provided the employer with sufficient information to substantiate that s/he has an ADA disability and needs the reasonable accommodation requested.

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.

During recruitment, employers may ask individuals to outline any pre-existing injury or illness that they believe may affect their ability to perform the normal duties of the role in writing.

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 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.

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.

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.

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...

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North Carolina ADA Questionnaire for Physician