How do you handle requests for disability or accommodations in clinical settings with limited administrative support or documentation time?

If you are working in private practice without ancillary support like case managers, I highly recommend having patients make appointments while you complete the forms for them. Clinically, if paperwork is being sprung on you out of nowhere, an evaluation is necessary anyways to determine if it's app...

This really depends on the context. It is really best to be working with a team when working with clients who have public insurance and applying for public support. Case managers are often able to coordinate these requests. It is often helpful to fill out the paperwork with the applicants present. I...

As others have noted, this does depend on the nature of the request and the patient's presentation. Generally, I try to complete all paperwork during visits with the patient present. This allows them to see my responses, and we work through the paperwork together. Furthermore, this limits surprises....

I think it is clinically useful to use the time with the patient to fill out the form together in session. This way, the patient knows what you have documented, and will have no surprises after it is submitted. It also demonstrates that your time is valuable, and that if the form is important to the...