Medical Accommodations Request Form 2022-23. ☐ acute ☐ chronic expected duration of accommodation: Request for reasonable accommodation form #:
Home StandishSterling Central High School
Submit the completed medical accommodations request form to your school’s 504 coordinator, along with Download adobe reader ™ print page email page last reviewed: 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. Hrm 2300.1 pdf versions of forms use adobe reader ™. Web if the request is for a diagnosis of allergies/anaphylaxis, diabetes, or seizure disorder, please complete the medical accommodations request form addendum. Please attach additional documentation, if needed student name: ☐ acute ☐ chronic expected duration of accommodation: Part i—requester’s contact information requester’s name: Please return this form to the employee or directly to the agency within 15 days of receipt.
Please return this form to the employee or directly to the agency within 15 days of receipt. Please return this form to the employee or directly to the agency within 15 days of receipt. Request for reasonable accommodation form #: Please attach additional documentation, if needed student name: Download adobe reader ™ print page email page last reviewed: Submit the completed medical accommodations request form to your school’s 504 coordinator, along with Hrm 2300.1 pdf versions of forms use adobe reader ™. Web if the request is for a diagnosis of allergies/anaphylaxis, diabetes, or seizure disorder, please complete the medical accommodations request form addendum. Easily fill out pdf blank, edit, and sign them. Date of medical documentation request: Save or instantly send your ready documents.
