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Are there any limits on the kind of modifications in policies, practices, and procedures required by the ADA?

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Are there any limits on the kind of modifications in policies, practices, and procedures required by the ADA?

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Yes. The ADA does not require modifications that would fundamentally alter the nature of the services provided by the public accommodation. For example, it would not be discriminatory for a physician specialist who treats only burn patients to refer a deaf individual to another physician for treatment of a broken limb or respiratory ailment. To require a physician to accept patients outside of his or her specialty would fundamentally alter the nature of the medical practice.

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