Employer verification, accommodation letters, or custom requests
Other Letter or Form
For documentation requests that don’t fall under ESA, STD, FMLA, or school accommodation — including employer letters, state forms, and custom requests.
What falls under this category?
This request type covers documentation that does not fit the specific categories above. If you are unsure which category applies to your request, contact us and our administrative team will review and classify it appropriately.
The fee for your request will depend on the type and complexity of documentation required. A fee is due prior to work beginning — our team will discuss fees with you after your request is reviewed.
Employer or return-to-work letters
Verification of treatment, return-to-work clearance, or employer-requested documentation
Functional capacity or accommodation letters
Letters documenting functional limitations or supporting workplace accommodation requests
NY State disability or APS forms
DB-450, Attending Physician Statements, Medicaid disability, ACCES-VR, or similar state forms
Custom or other documentation
Any other letter, form, or documentation not covered by the categories above
All documentation requests require active treatment participation and adequate clinical documentation. Our team will review your request and confirm whether we are able to complete it before any fees are collected.
Who qualifies?
EKM Psychiatry may complete documentation requests when all of the following conditions are met:
You must
- Be an active patient at EKM Psychiatry
- Have a documented psychiatric diagnosis
- Have an established treatment history at this practice
- Be current on all outstanding account balances
- Have clinical documentation supporting the request
- Submit your request with adequate time before any deadline
We cannot
- Complete all requests — eligibility is reviewed case by case
- Certify limitations not supported by the medical record
- Backdate letters or documentation
- Complete forms without adequate clinical documentation
- Guarantee completion by deadlines submitted on short notice
- Exaggerate symptoms or functional impairment
Information to have ready
About you
- Full legal name and date of birth
- Email address for correspondence
- Phone number
About your request
- Description of documentation needed
- Who it is being sent to
- Contact info or fax for delivery
- Any filing deadline
- Form in PDF format if applicable
How it works
- Send your requestUse the form below, or call or send us a secure message, and describe your request, including any deadlines. We will tell you how to send any forms securely.
- Administrative reviewOur team will review your request within 2–3 business days to confirm eligibility, classify the documentation type, and provide fee information.
- Invoice and paymentYou will receive fee information by email. Payment must be completed before work begins and is non-refundable once documentation has been initiated.
- Clinical review and completionYour provider will review your record and complete the documentation within the standard processing timeframe. A clinical appointment may be required prior to completion.
- DeliveryCompleted documentation will be sent directly to you or to the requesting party, depending on the instructions provided.
Prefer to talk to us? Call (518) 703-6840.