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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
In your reasonable accommodation letter, you should provide all the information your employer will need to begin the accommodation process, including what your disability is, how it affects you, which aspects of your job might require modification, and proposed accommodations.
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.
The ADA Dental Claim Form provides a common format for reporting dental services to a patients dental benefit plan. ADA policy promotes use and acceptance of the most current version of the ADA Dental Claim Form by dentists and payers.
The ADA is divided into five titles: Employment (Title I) Public Services (Title II) Public Accommodations (Title III) Telecommunications (Title IV) Miscellaneous (Title V)
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How to Engage in and Properly Document the Interactive Process Under the ADA Step 1: Establish a Written Policy. Step 2: Make Sure the Employee Notified the Employer of the Need for Accommodation. Step 3: Evaluate Whether the Employee Is an Individual With a Disability Under the ADA.
This letter is in response to your request for an accommodation to perform the essential functions of your position.

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