Reasonable Accommodation Medical Form 2026

1. Click ‘Get Form’ to open the Reasonable Accommodation Medical Form in our platform.
2. In Section A, provide your medical provider's name and sign the authorization. This allows them to complete Section B based on your medical records.
3. Fill in your printed name and the date of completion in Section A. Ensure all information is accurate for a smooth process.
4. In Section B, your healthcare practitioner will describe your medical condition, its impact on daily activities, and any recommended workplace accommodations.
5. Ensure that your medical provider completes all necessary fields, including their signature and contact information before submission.
6. Once completed, you can easily download or fax the form directly from our editor to the ADA Resource Center for Equity and Accessibility.

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