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ADA MEDICAL DOCUMENTATION FOR USE BY MEDICAL PRACTITIONER (From Employer To Physician) Physician: Employer: Date: Our employee, [Name of Employee], is employed as a [Position Title] at [Site or Facility]. The job duties of his/her position are listed in the attached job description. General Instructions To Medical Practitioner: We are required to comply with the Americans with Disabilities Act (ADA) and similar state requirements. Therefore, in providing information about the employee, please take into account the following information.

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