Ir al contenido
LeaveRights Project
All Templates
Accommodation & Leave Requests

Request Schedule Flexibility for Treatment

Fill in the fields below and preview your letter. Copy to clipboard or download. Nothing is saved.

Fill In Details
Preview
Dear [Recipient Name],

I am writing to request a schedule modification as a reasonable accommodation under the ADA. I have a qualifying condition that requires regular [Treatment Type] appointments.

I am requesting [Schedule Change] to accommodate my treatment schedule. This modification would allow me to maintain my treatment plan while continuing to fulfill my job responsibilities.

My healthcare provider supports this accommodation as necessary for managing my condition. I am open to discussing alternative arrangements that meet both my treatment needs and operational requirements.

Sincerely,
[Your Name]