Workplace Accommodation Letters for ADHD & Autistic Adults in North Carolina & California
We’ve got your back.
If a disability or health condition gets in the way of doing your job well, you have the right to ask for a change to how the work happens. Sometimes your employer wants clinical documentation to support that request. That is where we come in. We are a licensed practice serving North Carolina and California, and we write accommodation letters that describe what you are experiencing, usually in a single appointment, often covered by insurance. No ongoing therapy required.
What a workplace accommodation actually is
A workplace accommodation is a change to how, when, or where you do your job that helps you work effectively when a disability or health condition would otherwise get in the way. The job itself stays the same. What shifts is something about the conditions around it. That might look like:
A quieter workspace or noise-reducing headphones when a loud environment makes it hard to focus
Written instructions instead of, or alongside, verbal ones
A flexible start time, scheduled breaks, or the option to work from home
Adjusted lighting, or the ability to step away to manage sensory overload or anxiety
Accommodations are a right, not a favor. Under the Americans with Disabilities Act, and state laws like California's Fair Employment and Housing Act, employers are required to provide reasonable accommodations to employees with a qualifying disability.
Do you take insurance for accommodation letters?
Yes. Most providers who write these letters are cash-only, but our letter appointments run through your insurance the same as any other session. The Standard Service appointment is $200 and is covered by our accepted insurances. That means for many clients the out-of-pocket cost is a copay rather than a flat fee.
Do I have to become a regular therapy client?
No. This is usually a single appointment. You do not have to commit to ongoing therapy, and you do not have to become an established client to get your letter. If you only want the documentation, that is exactly what this service is for.
Workplace accommodation letters in North Carolina and California
We see clients virtually across both North Carolina and California, so where you live does not change your access to a letter. The number of appointments can vary slightly by state and by the type of letter, and we will tell you up front if your situation needs more than one visit.
What the letter includes
If you would like clinical documentation to support your request, we provide a letter describing the functional limitations relevant to your work. We describe what you are experiencing. You and your employer decide on the specific accommodation together, through what is called the interactive process. In most cases your employer only needs to understand how your condition affects your work, not the diagnosis behind it.
How it works
Standard Service. You are scheduled as soon as possible, usually within 2 to 3 weeks, and receive your letter within 48 hours of your appointment. This service is covered by our accepted insurances, or available for private pay clients for $200.
Expedited Service. You are scheduled within 7 days and receive your letter the same day. There is an additional $150 fee for this service, even if your insurance covers the appointment. For private pay clients, this service is $350.
All letter appointments are virtual.
FAQ
Does insurance cover a workplace accommodation letter? In most cases, yes. The appointment bills through your insurance like a regular session, so your cost is often just a copay.
Do I have to be an ongoing client? No. This is typically one appointment, with no requirement to continue therapy.
How fast can I get my letter? Standard Service delivers your letter within 48 hours of the appointment. Expedited Service delivers it the same day.
What conditions qualify for a workplace accommodation? Any disability or health condition that substantially affects how you do your job can qualify, including ADHD, autism, anxiety, and chronic illness. The letter focuses on functional impact, not on a label.
Do I have to tell my employer my diagnosis? Usually not. Your employer generally needs to understand how your condition affects your work, not the specific diagnosis. The letter can be written with that in mind.
Can you write a letter if I was diagnosed somewhere else? Yes. We can document your current functional limitations whether or not your diagnosis came from us.
Letter Services
We provide letters of support for clients requesting workplace accommodations. This is usually one appointment, but might need to be more depending on the type of letter, the accommodation, or the state you reside in.
All letter appointments are virtual.
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You will be scheduled as soon as possible, usually within 2-3 weeks, and receive your letter within 48 hours of your appointment. This service is covered by our accepted insurances, or available for private pay clients for $200.
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You will be scheduled for an appointment within 7 days and receive your letter the same day. There is an additional $150 fee for this service, even if your insurance covers the appointment. For private pay clients, this service is $350.
Request your Letter Appointment:
What is a Workplace Accommodation?
A workplace accommodation is a change to how, when, or where you do your job that helps you work effectively when a disability or health condition would otherwise get in the way. The job itself stays the same. What shifts is something about the conditions around it.
That might look like:
A quieter workspace or noise-reducing headphones when a loud environment makes it hard to focus
Written instructions instead of, or alongside, verbal ones
A flexible start time, scheduled breaks, or the option to work from home
Adjusted lighting, or the ability to step away to manage sensory overload or anxiety
Accommodations are a right, not a favor. Under the Americans with Disabilities Act, and state laws like California's Fair Employment and Housing Act, employers are required to provide reasonable accommodations to employees with a qualifying disability.
Getting one usually starts with a conversation. You let your employer know you need an adjustment, and together you work out what is reasonable and workable for your role. That back-and-forth has a name: the interactive process. You don't have to hand over your full medical history. In most cases your employer only needs to understand how your condition affects your work, not the diagnosis behind it.