Skip to main content

[NM] Does a family caregiver have to become a patient of their parent’s doctor to get FMLA certification paperwork completed?

Jon
Jon

556 satisfied customers

View context
Solved

The PCP's demand that you become a patient before they will complete the FMLA paperwork for your parents is not a normal legal requirement.

Under the FMLA, the certification is supposed to come from the healthcare provider treating the family member with the serious health condition, not the employee requesting leave (29 U.S.C. § 2613(a)). Since your parents are the actual patients, their treating providers are the appropriate people to complete the form. The FMLA expressly allows an eligible employee to take leave to care for a parent with a serious health condition (29 U.S.C. § 2612(a)(1)(C)).

You also do not have to rely only on this PCP. Your mother's oncologist may be one of the best options because they already know your family's medical situation and can document your mother's ongoing care needs, especially now that your father's stroke may prevent him from helping care for her the way he previously did. Under the regulations, "needed to care for" a family member includes situations where the family member is unable to care for their own basic needs, and covers both physical and psychological care (29 CFR § 825.124). The certification itself only needs to include the medical facts and an estimate of the care required, not anything about you as a patient (29 CFR § 825.306).

You can also contact the hospital's social work or case management department directly. They often handle discharge planning for stroke patients and may be able to connect you with a hospitalist, nurse practitioner, or physician assistant who can complete the certification. Under the FMLA regulations, nurse practitioners and physician assistants are authorized to sign these forms.

Another strong option is your father's neurologist or stroke specialist once follow-up care begins. Since they will be overseeing his recovery, they can often complete the paperwork using the hospital records and ongoing evaluations.

At the same time, protect yourself with your employer by documenting the delay in writing. Send HR an email explaining that you are actively trying to obtain the certification, but the PCP created an unexpected delay, and you are now working with your parents' treating specialists instead.

Under the FMLA regulations, employers generally must allow at least 15 calendar days to return certification paperwork, and reasonable extensions are expected when the employee is acting in good faith but faces delays outside their control.

Your concern here is understandable. This sounds much more like an administrative obstacle than an actual legal barrier, and shifting to the oncologist, hospital care team, or neurologist is likely the fastest way to get the paperwork completed and protect your leave rights.

0

Full Conversation


My dad recently suffered a stroke, and needs care. My mom also needs care, but previously my dad was able to do most of it, but now cannot. I need FMLA paperwork filled out to send to my employer. However, their Primary Care Physician refuses to do so, unless I become a patient. That means waiting for the next new patient appointment, causing a severe delay in returning the form, putting my employment at jeopardy. It also seems like an odd and possibly improper requirement in general. The hospital has stated they will not fill it out, and to go to the Primary Care Physician.

Lexi

Lexi, Chatbot

I'm sorry to hear about your dad's stroke and the challenges you're facing with care. Have you already discussed the FMLA situation with your employer to see if they can provide any assistance or guidance?

Yes, but they basically provide no assistance beyond directing me to the generic DOL FMLA form.

Lexi

Lexi, Chatbot

Have you considered reaching out to another healthcare provider or a different physician who might be willing to complete the FMLA paperwork for you?

What ones exist? The hospital refuses. His primary care physician refuses unless I become a patient. That is the same physician my mom uses as well, who also needs care.

Lexi

Lexi, Chatbot

Is there anything else the Employment Lawyer should know before I connect you? Rest assured they'll be able to help with your FMLA paperwork.

I am employed and reside in NM, but my parents are in FL, the providers are in FL, and I am currently in FL to assist with care.

Jon

Jon

Hello, and thank you for reaching out! I'm Jon, a licensed attorney with over 14 years of experience, here to help. I understand legal matters can feel overwhelming, but you're in good hands. My goal is to explain things clearly and guide you toward the best possible solution for your situation. Just a quick note: our conversation is for general legal information only and does not create an attorney-client relationship.

It sounds like you're in a tough spot with the FMLA paperwork. Let's see if we can find a way forward. Have you considered reaching out to any urgent care centers or walk-in clinics in the area? Sometimes they can help with paperwork like this, especially if you explain the urgency of the situation.

I have not. Can they handle basically what will be 6+ months of initial recovery of a stroke? My mom has had cancer for over a year in addition. Therefore these are not acute issues or a short amount of care.

Jon

Jon

I understand your concern about the long-term nature of the care needed. Have you considered reaching out to a specialist who might be involved in your parents' care, like a neurologist for your dad or an oncologist for your mom? They might be able to assist with the FMLA paperwork, given their involvement in ongoing treatment.

The oncologist for my mom might be a path forward. The doctors at the hospital seem to be unwilling, and just direct me to his primary care physician.

Jon

Jon

Believed I have all the information I need. Is there anything else you'd like to add before I start working on your answer? If not, I'll get started right away.

I do think it's necessary to have the paperwork focus on my dad's condition, as it's the most intense in care needed. My mom's condition is relevant, but did not require me to provide day-to-day care for the most part (did for some surgeries, and post-surgery care in the past), since my dad was capable of simple care, but is no longer able to do much of anything right now, and the amount of recovery to expect is unknown.

Jon

Jon

Got it! I just need a few minutes to put together a complete response for you. It shouldn't take longer than about 4–5 minutes, and I want to make sure it's clear and comprehensive. Thanks so much for waiting. I really appreciate your patience.

Jon

Jon

The PCP's demand that you become a patient before they will complete the FMLA paperwork for your parents is not a normal legal requirement.

Under the FMLA, the certification is supposed to come from the healthcare provider treating the family member with the serious health condition, not the employee requesting leave (29 U.S.C. § 2613(a)). Since your parents are the actual patients, their treating providers are the appropriate people to complete the form. The FMLA expressly allows an eligible employee to take leave to care for a parent with a serious health condition (29 U.S.C. § 2612(a)(1)(C)).

You also do not have to rely only on this PCP. Your mother's oncologist may be one of the best options because they already know your family's medical situation and can document your mother's ongoing care needs, especially now that your father's stroke may prevent him from helping care for her the way he previously did. Under the regulations, "needed to care for" a family member includes situations where the family member is unable to care for their own basic needs, and covers both physical and psychological care (29 CFR § 825.124). The certification itself only needs to include the medical facts and an estimate of the care required, not anything about you as a patient (29 CFR § 825.306).

You can also contact the hospital's social work or case management department directly. They often handle discharge planning for stroke patients and may be able to connect you with a hospitalist, nurse practitioner, or physician assistant who can complete the certification. Under the FMLA regulations, nurse practitioners and physician assistants are authorized to sign these forms.

Another strong option is your father's neurologist or stroke specialist once follow-up care begins. Since they will be overseeing his recovery, they can often complete the paperwork using the hospital records and ongoing evaluations.

At the same time, protect yourself with your employer by documenting the delay in writing. Send HR an email explaining that you are actively trying to obtain the certification, but the PCP created an unexpected delay, and you are now working with your parents' treating specialists instead.

Under the FMLA regulations, employers generally must allow at least 15 calendar days to return certification paperwork, and reasonable extensions are expected when the employee is acting in good faith but faces delays outside their control.

Your concern here is understandable. This sounds much more like an administrative obstacle than an actual legal barrier, and shifting to the oncologist, hospital care team, or neurologist is likely the fastest way to get the paperwork completed and protect your leave rights.

Is there any reasonable way to still get the PCP to change their stance? They basically claimed they could not fill it out for "legal reasons" without me being a patient, which seems to be incorrect legal advice, if they were actually told to operate with this requirement.

So in that case, for the hospital to help me with my FMLA paperwork for care for a parent, I have to be admitted to the hospital and become a patient. I also need to become a cancer treatment patient for the case of my mom's care?

Jon

Jon

You absolutely do not need to become a patient anywhere to get FMLA paperwork filled out. The primary care physician gave you completely wrong information; because the medical conditions belong entirely to your parents, only they need to be the patients of the doctors signing the forms. You are strictly the employee and caregiver, so you just need your parents' actual treating specialists to certify their ongoing medical needs on the document. You won't need any appointments, exams, or medical files created for yourself at all.

Right, but they say they will not do it unless I become a patient, due to a policy for "legal reasons." They told me I would need to have legal counsel contact them for them to consider it, which I thought was odd, for the provider to basically insinuate some sort of legal action is necessary for them to fill out the forms to allow me to care for my parents.

Jon

Jon

That doctor is completely backwards, using a fake legal excuse to bully you into a billing cycle or just shut down the conversation. Since you are on a tight deadline to protect your job, do not waste a single second or dollar arguing with them or hiring a lawyer. Just bypass that office entirely and take the FMLA forms straight to your mom's oncologist or the hospital social work team, who can easily sign off based on your parents' actual medical needs. You've got this, and focusing on the specialists who actually care about your family is your fastest path forward.

And I do hope the information I provided was helpful and addressed your question. If there's anything else you need, please don't hesitate to reach out. I'm always happy to assist.

Jon

Jon

556 satisfied customers

Jon
Welcome! Have a similar question?

12 lawyers online now

0:00

By messaging AskALawyer, you agree to our Terms and Privacy Policy.

Disclaimer


By messaging AskaLawyer.com, you agree to our Terms and have read our Privacy Policy.

The information provided on AskaLawyer.com is for general informational purposes only and does not constitute legal advice. While we strive to ensure the accuracy and timeliness of the information presented, we make no guarantees regarding its completeness or applicability to your specific circumstances.

Use of this website does not create an attorney-client relationship between you and AskaLawyer.com or any of its attorneys. Communications through this website, including any responses from attorneys, are not privileged or confidential. For advice tailored to your individual situation, we recommend consulting a licensed attorney in your jurisdiction.

AskaLawyer.com disclaims any liability for actions taken or not taken based on the content of this site. We are not responsible for any third-party content that may be accessed through this website. Reliance on any information provided herein is solely at your own risk.

Ask a Lawyer Logo
Ask a Lawyer Logo
Intake Questions
Step  of 3
Loading...

What's your legal question?

Lexi, Chatbot

How would you like your legal question to be answered?

Online

Loading...

How do you like to pay?

By proceeding with payment, you agree to our Terms and Privacy Policy. You authorize us to charge $ today and $ thereafter until canceled. You may cancel anytime in the My Account section to stop future charges.

Total Due:

After purchasing, your chat will begin with an attorney.

By proceeding with payment, you agree to our Terms and Privacy Policy. You authorize us to charge $ today and $ thereafter until canceled. You may cancel anytime in the My Account section to stop future charges.

Total Due:

After purchasing, your chat will begin with an attorney.

After connecting, your chat will begin with an attorney. After choosing, your chat will continue with Legal AI.

It looks like you already have an account with Ask a Lawyer.

We have sent you a magic link to . Click the link in your email to sign in and continue your chat.

spin

Step of 6 •

You'll receive an email at as soon as the lawyer joins the conversation 🙏🏻😊

Over 90% of lawyers connect within 5 minutes. If you're not online at that moment, don't worry — the lawyer will reply to your message while you're away.

You're also welcome to stay in the chat while waiting to be connected 💬✨

Waiting for lawyer

We couldn't send your message. Please try again.

Your lawyer will reply as soon as possible

If there’s a delay, please don’t worry. Your chat will stay open, and they’ll get back to you as soon as they can. There’s no rush on your end either. You’ll receive an email notification as soon as there’s a new message.

You've reached your AI chat limit

Upgrade your plan to continue chatting and get instant domain-specific answers.

0:00