Medical Accommodations Request Form 2022-23. Download adobe reader ™ print page email page last reviewed: Part i—requester’s contact information requester’s name:
Home StandishSterling Central High School
Submit the completed medical accommodations request form to your school’s 504 coordinator, along with ☐ acute ☐ chronic expected duration of accommodation: Web how to request health services educational and other accommodations paraprofessionals transportation accommodations frequently asked questions parent communications medically necessary instruction summary section 504 of the rehabilitation act of 1973 requires public schools to offer accommodations for eligible. Date of medical documentation request: Part i—requester’s contact information requester’s name: Web if the request is for a diagnosis of allergies/anaphylaxis, diabetes, or seizure disorder, please complete the medical accommodations request form addendum. Please return this form to the employee or directly to the agency within 15 days of receipt. Americans with disabilities citizens and consumers. Request for reasonable accommodation form #: Easily fill out pdf blank, edit, and sign them.
Americans with disabilities citizens and consumers. Download adobe reader ™ print page email page last reviewed: Americans with disabilities citizens and consumers. Save or instantly send your ready documents. Web how to request health services educational and other accommodations paraprofessionals transportation accommodations frequently asked questions parent communications medically necessary instruction summary section 504 of the rehabilitation act of 1973 requires public schools to offer accommodations for eligible. Easily fill out pdf blank, edit, and sign them. Please attach additional documentation, if needed student name: Please return this form to the employee or directly to the agency within 15 days of receipt. Date of medical documentation request: ☐ acute ☐ chronic expected duration of accommodation: Web if the request is for a diagnosis of allergies/anaphylaxis, diabetes, or seizure disorder, please complete the medical accommodations request form addendum.
