FMLA / Worker's Compensation Forms

Service Description

The Family and Medical Leave Act of 1993 (FMLA) provides certain employees with up to 12 weeks of unpaid, job-protected leave per year. It also requires that their group health benefits be maintained during the leave. FMLA is designed to help employees balance their work and family responsibilities by allowing them to take reasonable unpaid leave for certain family and medical reasons. It also seeks to accommodate the legitimate interests of employers and promote equal employment opportunity for men and women. FMLA applies to all public agencies, all public and private elementary and secondary schools, and companies with 50 or more employees. These employers must provide an eligible employee with up to 12 weeks of unpaid leave each year for any of the following reasons: - For the birth and care of the newborn child of an employee; - For placement with the employee of a child for adoption or foster care; - To care for an immediate family member (i.e., spouse, child, or parent) with a serious health condition; or - To take medical leave when the employee is unable to work because of a serious health condition. Employees are eligible for leave if they have worked for their employer at least 12 months, at least 1,250 hours over the past 12 months, and work at a location where the company employs 50 or more employees within 75 miles. Whether an employee has worked the minimum 1,250 hours of service is determined according to FLSA principles for determining compensable hours or work. Time taken off work due to pregnancy complications can be counted against the 12 weeks of family and medical leave. Intermittent Leave of Absence- When it is medically necessary, employees may take FMLA leave leave intermittently, leaving in separate blocks of time or on a reduced schedule allowing the employee to work only a certain number of days. ** Case-by-case basis for approval **

Cancellation Policy

To cancel or reschedule, please contact us 24-hours in advance to avoid a same-day cancellation/no-show fee. Canceling in advance, will also allow other clients in need of services to be seen sooner. A $50 same-day cancellation/no-show fee will be applied to your account. This includes NEW and EXISTING patients.

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