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Accommodation request: medical inquiry form - Faculty and Staff - uhr rutgers

Accommodation request: medical inquiry form - Faculty and Staff - uhr rutgers 2025

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The document is an Accommodation Request: Medical Inquiry Form for Rutgers University staff members to request medical information from their healthcare provider. It includes sections for the employee to describe their accommodation needs and for the healthcare provider to provide relevant medical details, including diagnosis, job function limitations, and suggested accommodations. The form also emphasizes compliance with the Genetic Information Nondiscrimination Act (GINA) by prohibiting the inclusion of genetic information.

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What are the special housing accommodations at Rutgers?

Accommodations that may be approved for students include wheelchair accessible rooms, reduced access bathrooms, gender neutral bathrooms, air-cooling, and single rooms. In order to provide support to students who need special accommodations, students must inform Residence Life of the nature of their request.

What GPA is forgiven at Rutgers?

Students who have under a 2.00 cumulative grade-point average and who have not been enrolled at any Rutgers University undergraduate division for at least 10 successive semesters may be eligible for academic forgiveness from one entire semester of coursework or 12 total credits of coursework.

How do I request accommodations at Rutgers?

There are two forms that are submitted in order to request an accommodation: (1) Accommodation Request Form that can be filled out manually (PDF format) or electronically on the OneSource portal; and (2) Medical Inquiry Form.

How do I request accommodations in college?

5 Steps to Request College Disability Accommodations 1 Register on Campus as a Student With a Disability. 2 Provide Proof of Your Disability. 3 Meet With a Disability Services Office Representative. 4 Notify Professors of Your Eligibility for Accommodations. 5 Regularly Remind Instructors Whenever You Need Accommodations.

How do I write a medical accommodation request?

ACCOMMODATION(S) REQUESTED (Be as specific as possible, for example adaptive equipment, reader, interpreter, training, schedule change, etc.): REASON FOR REQUEST (Please do not disclose your diagnosis; explain your disability-related limitations and how this accommodation will help you do your job.)