FMLA for Employee's Own Serious Health Condition

We understand that you may face the need to take time off work, while you deal with a serious health condition. These times will be challenging and demanding, as you maneuver through medical appointments, treatment regimens and medically related symptoms during recovery. If your doctor has indicated the need for consecutive or intermittent time off work, due to your own serious health condition, you may be entitled to time under the Federal Family Medical Leave Act.

FMLA definition of Serious Health Condition

 • any period of incapacity or treatment connected with inpatient care (i.e., an overnight stay) in a hospital, hospice, or residential medical care facility; or

 • a period of incapacity requiring absence of more than three calendar days from work, school, or other regular daily activities that also involves continuing treatment by (or under the supervision of) a health care provider; or 

 • any period of incapacity (or treatment therefore) due to a chronic serious health condition (e.g., asthma, diabetes, epilepsy, etc.); or       

 • a period of incapacity that is permanent or long-term due to a condition for which treatment may not be effective (e.g., Alzheimer's, stroke, terminal diseases, etc.); or,

 • any absences to receive multiple treatments (including any period of recovery therefrom) by, or on referral by, a health care provider for a condition that likely would result in incapacity of more than three consecutive days if left untreated (e.g., chemotherapy, physical therapy, dialysis, etc.).

    FMLA required Medical Certification

    The District requires that the need for leave for a serious health condition of the employee be supported by a certification issued by a health care provider. This certification should be submitted to the District within 15 calendar days after known need or request. In the District's ongoing effort to provide service to students and staff and in support of the general operations of all schools, it is important that your immediate supervisor and Human Resources, is made aware of your need as soon as possible. All medical information is confidential and in accordance with HIPAA Privacy Rule  requirements. 

    Health Care Provider

    Health care providers who may provide certification of a serious health condition include:

     • doctors of medicine or osteopathy authorized to practice medicine or surgery (as appropriate) by the State in which the doctor practices;

     • podiatrists, dentists, clinical psychologists, optometrists, and chiropractors (limited to treatment consisting of manual manipulation of the spine to correct a subluxation as demonstrated by X-ray to exist) authorized to practice in the State and performing within the scope of their practice under State law;

     • nurse practitioners, nurse-midwives, and clinical social workers authorized to practice under State law and performing within the scope of their practice as defined under State law;

     • Christian Science practitioners listed with the First Church of Christ, Scientist in Boston, Massachusetts;

     • any health care provider recognized by the employer or the employer's group health plan's benefits manager; and,

     • a health care provider listed above who practices in a country other than the United States and who is authorized to practice under the laws of that country.

    Intermittent or Reduced Schedule FMLA 

    Intermittent/reduced schedule leave may be taken when medically necessary as you recover from a serious health condition. The intermittent or reduced schedule must be scheduled and approved in advance. This type of leave would be for pre scheduled ongoing appointments related to your medical condition.

    If you would like to request a medical leave of absence under the FMLA entitlement, please complete a Leave of Absence Request and the FMLA Request (Self) and fax them to the Human Resources Leave and Accommodations Coordinator at 253-841-8650.