Work Accommodation Note Tool


Start Over

Step 1: Begin Creating Your Note

Note that your patient is not required to disclose her medical condition (other than pregnancy, childbirth, or lactation) to receive an accommodation under California law.

It is recommended that your patient disclose her pregnancy to her employer to increase the likelihood that she will receive the accommodation she needs. Patients with privacy concerns about disclosing their pregnancy at this time should understand that they are more likely to receive an accommodation if they so disclose.

It is recommended that your patient disclose her pregnancy to her employer to increase the likelihood that she will receive the accommodation she needs. Patients with privacy concerns about disclosing their pregnancy at this time should understand that they are more likely to receive an accommodation if they so disclose.

It is recommended that your patient disclose her pregnancy to her employer to increase the likelihood that she will receive the accommodation she needs. Patients with privacy concerns about disclosing their pregnancy at this time should understand that they are more likely to receive an accommodation if they so disclose.

There is currently no interactive tool for the state you have selected. However, there are downloadable note writing guidelines available for this state. Please visit https://www.pregnantatwork.org/healthcare-professionals/ to access information about writing an effective work accommodation note for patients who work in the state you selected.