SAMPLE LETTER TO HOSPITALS ON MCS ACCOMMODATION
Name of Hospital Administrator (or Chief Executive)
Hospital full address
City, State and Zip Code
Dear Mr. or Ms. ______________:
I am a resident of the area in which your hospital is located and would be
taken to your hospital (or medical facility) in an emergency situation. My
physician's name is Dr. _____________. I have a disability known as Multiple
Chemical Sensitivity (MCS) which requires that special precautions be taken in
order to prevent further injury to my health. I am writing to ask you to put me in
touch with someone at your facility so that I can discuss my personal medical
needs and have them on record in case of an emergency or illness which
requires hospitalization or medical testing.
I am enclosing a copy of the manual "Healthier Hospitals" (OR, if not
enclosing the manual - "I have available for your review, a manual entitled
"Healthier Hospitals" ) which is an excellent tool with which to educate your
medical personnel about MCS. Often, due to a lack of proper education in this
area, the requests of those with MCS are not understood and/or are ignored,
sometimes causing life threatening situations and/or severe pain and discomfort.
(If this has ever happened to you at this medical facility, list a brief explanation
of what happened).
I look forward to hearing from you at your earliest convenience and will
be pleased to assist you in any way that I can in the education of your employees
about MCS. Thank you very much for taking the time out of your busy schedule
to address this very serious problem.
Your physician's name (Have your physician co-sign the letter with you or ask
him/her to write one of his/her own to the hospital administrator.) Those with
MCS disability must be accommodated only if the disability affects a major life
function (breathing, walking, mental capabilities, etc.) Check with your state's
Governor's Council on Persons with Disabilities if your have questions
concerning this (every state has a Governor's Council dealing with disability).