Este cuestionario le permite a un empleador determinar si un empleado sufre una discapacidad según la ADA para poder realizar una adaptación razonable.
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.
Once it's filled out, your doctor will review it and discuss the next steps with you, including any recommendations for accommodations.
No, your employer won’t have access to your personal responses. The questionnaire is between you and your physician.
Absolutely! Your information is treated with the utmost care and kept private, just like any other medical records.
It allows your doctor to better understand your needs, which can lead to improved support and accommodations tailored just for you.
You'll want to share details about your medical condition, the symptoms you're facing, and any accommodations you think might help you in your daily life.
Usually, it's filled out by patients who are applying for certain accommodations at work or in public spaces. It helps to clarify their health needs.
The ADA Questionnaire is a way for doctors to gather information about how a person's condition might affect their ability to work or perform daily tasks in Nashville.
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Nashville Tennessee Cuestionario de la ADA para médicos