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Office of Accessibility and Disability Services

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      • Requesting Work-Related Accommodations at UMBC: Procedures
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  • Accommodations
    • Student Disability Services ↗︎
    • Employee Accommodation Requests
      • Requesting Work-Related Accommodations at UMBC: Procedures
      • Employee Accommodation Request Form
      • Health Provider Inquiry Form
      • Alternative Work Arrangements (HR) ↗︎

Location

Math/Psychology
212

Hours

9 AM - 5 PM, Monday - Friday

Contact

  • Phone: (410) 455-5745/(410) 455-2459
  • Contact Us
  • Office of Accessibility and Disability Services on myUMBC

Health Provider Inquiry Form

This form can be filled out online by clicking the hyperlink below, or the form can be printed out and submitted in person at the ADS office or via email at slazar@umbc.edu.

UMBC HEALTH PROVIDER INQUIRY FORM_102017

 

Location

Math/Psychology
212

Hours

9 AM - 5 PM, Monday - Friday

Contact

  • Phone: (410) 455-5745/(410) 455-2459
  • Contact Us
  • Office of Accessibility and Disability Services on myUMBC
UMBC

University of Maryland, Baltimore County
1000 Hilltop Circle, Baltimore, MD 21250

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