Nys Disability Appeal Guidance

Summary

Your appeal letter is detailed and well-crafted. Consider adding a clear request for intermittent leave, emphasizing the harm continuous leave might cause, mentioning your doctors agreement, stating the steps taken to provide medical documents, and showing willingness to cooperate with further requirements.

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I continuously struggle with severe depression, anxiety, and paranoia, which impair my decision-making abilities. At the time of the claim filing, my symptoms were particularly severe, significantly impairing my ability to comprehend the situation and take appropriate action. My severe depression, anxiety, and paranoia significantly affect my work performance. On days when my symptoms are manageable, I can function adequately. However, there are times when these conditions worsen, making it impossible for me to fulfill my duties. This unpredictability is why an intermittent FMLA certification is necessary and more suitable for my situation. The fear of employer access to my medical records and the potential for self-harm from viewing them myself intensified my symptoms and led to me withholding my treatment notes during the claim process. Initially, I believe my intermittent FMLA certification covers my condition. My doctor also agrees. However, Sedgwick who is not a medical provider is trying to tell me that my doctor a medical provider doesn’t know what’s best for me. This demand that my FMLA certification be continuous is a determent to my health and has put my life in danger. Upon receiving proper paperwork which allows my doctor to certify my condition as intermittent I'm now promptly submitting these medical documents for review. I appeal based on these circumstances."
Your appeal letter is well-crafted and detailed. However, you might want to add:
*. Clear request for intermittent leave instead of continuous leave.
*. Emphasize the harm continuous leave might cause to your health.
*. Mention your doctor's agreement on intermittent leave.
*. State the steps you've taken to provide medical documents for review.
*. Your willingness to cooperate with further requirements.