New Hampshire

Writing an Effective Work Accommodation Note in
New Hampshire

Click the blue button below to create a work accommodation note by answering questions about your patient’s medical condition and work limitations. You will not be asked to enter your patient’s name or any other personally identifiable information about your patient. This interactive tool produces text that can be cut and pasted onto your professional letterhead.

Write Your Own Note

Alternatively, click the button below to download a PDF document containing step-by-step instructions on how to write an effective work note in New Hampshire.

Learn about WorkLife Law’s COVID-19 Resources and Helpline.
Aprenda más sobre los recursos y la línea telefonica de ayuda COVID-19 de WorkLife Law.
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