FMLA (Family Medical Leave Act) / Disability Worksheet

If you are going to apply for FMLA (Family Medical Leave) or Disability and would like Dr. Beer to completes any required forms, please download and fill out the worksheet below.

 
FMLA / Disability Work Sheet (pdf File)
(Click Here To Download)

 

FMLA / Disability Work Sheet (Word File)
(Click Here To Download)

 

 

  • If you have not seen Dr. Beer for this problem in the past 30 days, please make an appointment.
  • If you are applying for disability for the first time, you will need an appointment with Dr. Beer.

 

 

 

 

 

    
           
© 2008 Bradley J. Beer MD