The HR Connect Medical Administration Office and its physicians determine whether a person is “fit for duty,” evaluate medical leave requests and Line of Duty Injury (LODI) applications, determine eligibility for Board of Education Retirement System (BERS) disability retirement, and assess requests for accommodations under the Americans with Disabilities Act (ADA). While you may never need these services, here’s a quick reference on how to access them:
Tuberculosis (TB) Screening (Mantoux Skin Test)If your position is school based, you must submit your results from a screening for TB. You will need to complete a Mantoux Test Form (TB Test) and submit it to HR Connect by mail to 65 Court Street, Brooklyn, NY, 11201, or by fax to (718) 935-3423. All instructional staff must complete such a form.ADA Requests for AccommodationsRequests for accommodations are evaluated by DOE physicians. Complete Form OP51 and submit it to HR Connect by mail to 65 Court Street, Brooklyn, NY, 11201, or by fax to (718) 935-3423. ExaminationsPrincipals or supervisors may request that DOE physicians perform “fit for duty” examinations. Also, DOE physicians perform examinations required for BERS disability retirement. In addition, DOE doctors perform mandated 2568 examinations, which are physical or mental exams requested by supervisory personnel.
A principal can recommend a 2568 examination to the superintendent (in a letter stating reasons for the exam), who will formally request a 2568 examination with a letter to Medical Administration. Medical Administration will then schedule an exam and send letters informing the principal, superintendent, and employee of the exam. Letters to employees are sent via certified mail and regular mail.
Medical Hardship TransfersIf specified in your contract, you may request a transfer if you cannot perform the functions of your job due to limitations at your workplace. Complete an Application for Hardship Transfer form and submit it, along with applicable medical documentation, by mail to 65 Court Street, Brooklyn, NY, 11201, or by fax to (718) 935-3423. There is no deadline or filing period for submission of hardship transfer applications.
Reimbursement of LODI ExpensesIf you have been approved for LODI and you incur expenses that are not covered by insurance, you may apply for reimbursement of out-of-pocket expenses by filling out the appropriate form. (1) If you were approved for LODI after an accident, use the OP 505 Accident Medical Expense Reimbursement form and Instructions. If you were approved for LODI after an incident of assault, use the OP 505A Assault Medical Expense Reimbursement form and Instructions.
Reimbursement of Loss or Damage of Personal PropertyAn employee can be reimbursed up to $100 to replace any personal property damaged or stolen while conducting DOE business during the course of an academic year if an original receipt is provided with the claim. An employee can be reimbursed up to $50 to replace any damaged or stolen personal property unaccompanied by a receipt. To file for reimbursement, fill out a Claim for Loss or Damage of Personal Property Form after reading the Instructions and submit it to HR Connect by mail to 65 Court Street, Brooklyn, NY, 11201, or by fax to (718) 935-3423.
Arbitration of DOE Medical DecisionsFor those employees who under contractual agreement are entitled to arbitrate a medical decision, applications can be obtained from your union office.
Click here for more information:Medical Frequently Asked Questions document For information about leaves of absence, including medical leaves, unpaid leaves for restoration of health, health sabbaticals, advancement of personal leaves days, and LODI, visit the Leaves of Absence Administration Web site.