Health-Related Condition Request

If you have a health-related condition that may require special attention during the examination, submit a Health-Related Condition Notice Form by January 1 for a February examination or by June 1 for a July examination.

The form may be uploaded to your user homepage or mailed to MBLE.

If the need is for food/juice, medication, an assistive device, or special seating (unless the need is for wheelchair access), a statement from your medical doctor verifying your condition and supporting your need must be included.

If you are requesting an accommodation for a disability, as defined under the ADA, refer to MBLE's ADA Accommodations Request page.