COVID-19 Disability Accommodation Form

 

Publication date: 2020

Download the 2020 COVID-19 Disability Accommodation Form print PDF

Purpose of this Publication

The purpose of this publication is to provide a COVID-19 Disability Accommodation Form to provide medical professionals with the information they need in order to give you medical treatment.

This publication is not a substitute for legal advice. Federal and state law can change at any time. Contact Disability Rights Oregon or consult with an attorney in your community if you need additional help.

 
COVID-19 Disability Accommodation Form Page 1
COVID-19 Disability Accommodation Form page 2

Copyright © 2020 Disability Rights Oregon

511 SW 10th Ave, Suite 200, Portland OR 97205
Voice: 503-243-2081 or 1-800-452-1694
Fax: 503-243-1738
E-mail: welcome@droregon.org
Website: www.droregon.org

Disability Rights Oregon is tax-exempt under Section 501(c)(3) of the Internal Revenue Code. Contributions are tax-deductible and will be used to promote the rights of Oregonians with disabilities. 

Portions of this document may be reproduced without permission, provided that Disability Rights Oregon is appropriately credited. 

NOTICE: This document is not intended as a substitute for legal advice. Federal and state law can change at any time. You may wish to contact Disability Rights Oregon or consult with an attorney in your community if you require further information.

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How to Request a Reasonable Accommodation at Work

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SB 1606 Fact Sheet: Guaranteeing People with Disabilities Access to Supports while in the Hospital