Work and School Accommodation Letters in Arizona — ADA and Section 504 Documentation
An accommodation letter documents a diagnosed mental health condition, the ways it limits you, and the adjustments that would let you work or study on equal footing. Sigmon Psychiatric writes accommodation letters for established patients across Arizona for a flat $179. New patients begin with a standard $179 evaluation, because a letter from a provider who has not evaluated you is one a disability office is right to question.
At a glance: Online across Arizona: 5.0★ on Zocdoc across 88 verified reviews, $179 initial evaluation, and same-week openings often available.
Who the letter is for
- Employees requesting accommodations under the Americans with Disabilities Act (ADA)
- College and graduate students registering with a disability resource center under Section 504 and the ADA
- Test takers requesting extended time or a separate room from a testing board (LSAT, MCAT, NCLEX, bar exam, and others)
- High school students whose family is seeking a 504 plan, with the school's own evaluation process still applying
Conditions that commonly qualify include ADHD, anxiety disorders, depression, PTSD, bipolar disorder, and OCD.
What the letter contains
- Your diagnosis with the ICD-10 code, the date it was established, and current treatment
- The functional limitations the condition causes in a work or academic setting, in specific terms
- Recommended accommodations matched to those limitations, such as extended time, a reduced-distraction setting, flexible scheduling, remote work days, written instructions, or scheduled breaks
- Angela Marton's credentials, Arizona license number, and NPI so the recipient can verify the signer
Many employers and schools have their own form instead of, or in addition to, a letter. The $179 fee covers either a letter or a completed form of ordinary length.
How the process works in Arizona
- Establish care. If you are new, book a $179 initial evaluation at sigmonpsych.com/book. Current patients skip this step.
- Request the letter. Text (520) 650-5111 or email sigmonpsych@gmail.com with the recipient (employer, school, testing board), any form they require, and the accommodations you are asking for.
- Receive it. Letters are typically ready within five business days and delivered securely as a PDF, or faxed to the recipient with your written authorization.
Accommodation decisions belong to the employer or school; the letter gives them the documentation they need to make a fair one. Arizona's public universities and community colleges each publish their documentation guidelines, and the letter is written to meet them.
What the letter is not
It is not a guarantee that any specific accommodation will be granted, not a disability determination for Social Security or long-term disability, and not a substitute for formal psychoeducational testing when a testing board requires it (as some do for learning disabilities). Angela will tell you when a request is outside what she can honestly document.
Assessments and letters are outpatient services, not emergency care. If you or someone with you is in immediate danger, call 911. For a mental health crisis, call or text 988 or Arizona's statewide crisis line at 1-844-534-4673, both available 24 hours a day.
Request an accommodation letter
Established patients: text (520) 650-5111. New patients: view current appointment times for an initial evaluation. All assessments and prices are listed in one place.
Your provider: Angela Marton, PMHNP-BC
Angela Marton is a board-certified psychiatric mental health nurse practitioner providing telehealth psychiatric care to patients across Arizona. She specializes in medication management and comprehensive psychiatric evaluations for anxiety, depression, ADHD, and related conditions. Every visit is with the same provider. Same-week openings are often available, but timing varies; view current times when you book. More about Angela.
Insurance & costs
Work or school accommodation letter: $179, self-pay. HSA and FSA cards are accepted. All assessments and prices.
Commercial plans that may be accepted include Aetna, Blue Cross Blue Shield, Cigna, United Healthcare, Humana, Oscar Health, and Optum. Coverage and network participation vary by exact plan, so verify benefits before your visit. Self-pay rates are $179 for an initial evaluation and $129 for follow-up visits; HSA and FSA cards are accepted. Medicare, Medicaid, and AHCCCS (Arizona Medicaid) are not accepted; patients with those plans are still welcome to book as self-pay. Full insurance and pricing details.
Frequently asked questions
How much does an accommodation letter cost?
$179 for established patients, the same as a standard visit. New patients complete a standard $179 initial evaluation first, because an accommodation letter must rest on a documented diagnosis and treatment relationship. Most letters are completed within five business days of the request.
What conditions qualify for workplace or school accommodations?
Under the Americans with Disabilities Act and Section 504, a diagnosed mental health condition that substantially limits a major life activity can qualify, including ADHD, anxiety disorders, depression, PTSD, bipolar disorder, and OCD. The letter documents the diagnosis and functional limitations; the employer or school decides which accommodations are reasonable.
What accommodations are commonly requested?
Extended time on exams, a reduced-distraction testing environment, note-taking support, flexible start times, remote or hybrid work days, scheduled breaks, written instructions, and time off for medical appointments. The letter recommends accommodations that match your specific limitations rather than a generic list.
Can I get an accommodation letter at my first visit?
Not at the same visit. The initial evaluation establishes the diagnosis; the letter can be requested afterward and is usually ready within five business days. This sequence is what keeps the letter credible to a disability office.