ADA Medical Documentation for Use by Medical Practitioner

State:
Multi-State
Control #:
US-AHI-209
Format:
Word
Instant download

Description

This AHI form is to be used by an employer who has hired a disabled employee. This form must be sent to the employees medical physician. This from includes the employees job description and functions preformed by the employee.

Definition and meaning

The ADA Medical Documentation for Use by Medical Practitioner is a legal form that facilitates communication between an employee and their employer regarding health conditions under the Americans with Disabilities Act (ADA). This document allows medical practitioners to evaluate an employee's ability to perform required job functions while considering any disabilities. It provides a framework for ensuring that employees receive reasonable accommodations when necessary.

How to complete the form

Completing the ADA Medical Documentation requires careful attention to detail. Follow these steps:

  1. Fill in the names of the physician and employer at the top of the form.
  2. Provide the date of completion.
  3. Include the employee's name and position, referencing the attached job description.
  4. Evaluate the employee's ability to perform essential and marginal job functions.
  5. Indicate any direct threats related to the employee’s health and safety.
  6. Complete the certification section and ensure the employee's consent is recorded.

Return the completed form in a sealed envelope marked as personal and confidential to maintain privacy.

Who should use this form

This form is intended for use by employers, employees, and medical practitioners. Employers need it to assess the need for reasonable accommodations for employees with disabilities. Employees should consult their medical providers to ensure the form is completed accurately, while medical practitioners must understand the specific job functions to accurately evaluate the employee’s capabilities.

Key components of the form

The ADA Medical Documentation includes several vital sections:

  • Employee Information: Captures personal data and consent for disclosure.
  • Job Description: Outlines essential and marginal functions that the employee must perform.
  • Medical Evaluation: Requires the practitioner to assess the employee's ability concerning the provided job description.
  • Certification: Includes a section for the medical professional's signature and date.

Completing each section accurately is crucial to ensure compliance with the ADA.

Common mistakes to avoid when using this form

To ensure the effective use of the ADA Medical Documentation, be aware of the following common mistakes:

  • Failing to provide complete and accurate employee details.
  • Not including a thorough job description, which could lead to misunderstandings.
  • Neglecting to assess both essential and marginal functions separately.
  • Overlooking to obtain the necessary consent from the employee for disclosure.

Addressing these issues can help facilitate a smooth process for both employees and employers.

What to expect during the evaluation

During the evaluation process, the medical practitioner will examine the employee's medical history and current condition in relation to their job functions. This process may involve:

  • A review of the information provided by the employer regarding job requirements.
  • A physical and mental assessment of the employee's capacities.
  • Recommendations for accommodations that can support the employee's performance.

Understanding that the evaluation is a collaborative effort will help both parties navigate challenges effectively.

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FAQ

Your name and position. The date. Information about your disability. A request for accommodation. Accommodation ideas. Medical information.

Reasonable documentation means that the employer may require only the documentation that is needed to establish that a person has an ADA disability, and that the disability necessitates a reasonable accommodation.

State that you are requesting accommodations under the ADA (or the Rehabilitation Act of 1973 if you are a federal employee) Identify your specific problematic job tasks. Identify your accommodation ideas. Request your employer's accommodation ideas.

It is a common misconception that an employer must honor a doctor's note; however, the doctor has no legal authority over any business but his/her own practice and cannot require your employer to do anything. An employer's obligation is to make "reasonable accommodations" to a disability.

The ADA requires an employer to provide reasonable accommodations to qualified individuals with disabilities who are employees or applicants for employment, unless to do so would cause an undue hardship on the operation of the employer's business.42 U.S.C.

Providing an assistant as needed may be a reasonable accommodation for a person with a disability, if this does not impose an undue hardship. Examples include: An assistant may be needed to retrieve items on shelves, file, or selectively assist a person with quadriplegia with other clerical duties.

Your name and position. The date. Information about your disability. A request for accommodation. Accommodation ideas. Medical information.

It is generally permissible for employers to require a doctor's note or release to return to work following a work-related injury or illness. ADA. Yes.The EEOC provides enforcement guidance for disability-related inquiries and medical examination of employees under the ADA.

An employer may use this form to document the determination of an employee's request for a reasonable accommodation under the Americans with Disabilities Act (ADA). The form is intended for private employers.Employee (identified below) has requested an accommodation related to a disability.

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ADA Medical Documentation for Use by Medical Practitioner