The Maryland ADA Questionnaire for Physician is a comprehensive document designed to assess an individual's qualification for accommodations under the Americans with Disabilities Act (ADA) in the state of Maryland. This questionnaire serves as a crucial tool for physicians to evaluate patients' disabilities and determine the appropriate level of accommodation needed in various settings. The information obtained from this questionnaire helps physicians make informed decisions regarding reasonable accommodations and treatments for individuals with disabilities. Keywords: Maryland ADA Questionnaire for Physician, Americans with Disabilities Act, accommodations, disabilities, evaluation, reasonable accommodations, treatments, physicians, questionnaire, Maryland. There are three different types of Maryland ADA Questionnaire for Physician: 1. Employment Accommodations Questionnaire: This questionnaire is specifically tailored for individuals seeking accommodations in the workplace. It helps physicians assess the impact of the disability on the individual's ability to perform essential job functions and suggests appropriate accommodations to promote equal employment opportunities. 2. Education Accommodations Questionnaire: Aimed at students with disabilities, this questionnaire aids physicians in determining the reasonable accommodations required to ensure equal access to educational opportunities. It assesses the impact of the disability on the individual's learning, participation, and academic performance. 3. Public Accommodations Questionnaire: This type of questionnaire focuses on evaluating the necessary accommodations for individuals with disabilities in public places such as restaurants, stores, transportation, and other public facilities. Physicians utilize this questionnaire to evaluate the specific needs and challenges faced by individuals with disabilities in accessing and utilizing these public spaces. Keywords: Maryland ADA Questionnaire for Physician, employment accommodations, workplace, disabilities, essential job functions, equal employment opportunities, education accommodations, students with disabilities, access to educational opportunities, academic performance, public accommodations, restaurants, stores, transportation, public facilities.
Para su conveniencia, debajo del texto en español le brindamos la versión completa de este formulario en inglés. For your convenience, the complete English version of this form is attached below the Spanish version.