29 C.F.R. § 825.115

Continuing treatment

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A serious health condition involving continuing treatment by a health care provider includes any one or more of the following:

(a) Incapacity and treatment. A period of incapacity of more than three consecutive, full calendar days, and any subsequent treatment or period of incapacity relating to the same condition, that also involves:

(1) Treatment two or more times, within 30 days of the first day of incapacity, unless extenuating circumstances exist, by a health care provider, by a nurse under direct supervision of a health care provider, or by a provider of health care services (e.g., physical therapist) under orders of, or on referral by, a health care provider; or

(2) Treatment by a health care provider on at least one occasion, which results in a regimen of continuing treatment under the supervision of the health care provider.

(3) The requirement in paragraphs (a)(1) and (2) of this section for treatment by a health care provider means an in-person visit to a health care provider. The first (or only) in-person treatment visit must take place within seven days of the first day of incapacity.

(4) Whether additional treatment visits or a regimen of continuing treatment is necessary within the 30-day period shall be determined by the health care provider.

(5) The term extenuating circumstances in paragraph (a)(1) of this section means circumstances beyond the employee's control that prevent the follow-up visit from occurring as planned by the health care provider. Whether a given set of circumstances are extenuating depends on the facts. For example, extenuating circumstances exist if a health care provider determines that a second in-person visit is needed within the 30-day period, but the health care provider does not have any available appointments during that time period.

(b) Pregnancy or prenatal care. Any period of incapacity due to pregnancy, or for prenatal care. See also § 825.120.

(c) Chronic conditions. Any period of incapacity or treatment for such incapacity due to a chronic serious health condition. A chronic serious health condition is one which:

(1) Requires periodic visits (defined as at least twice a year) for treatment by a health care provider, or by a nurse under direct supervision of a health care provider;

(2) Continues over an extended period of time (including recurring episodes of a single underlying condition); and

(3) May cause episodic rather than a continuing period of incapacity (e.g., asthma, diabetes, epilepsy, etc.).

(d) Permanent or long-term conditions. A period of incapacity which is permanent or long-term due to a condition for which treatment may not be effective. The employee or family member must be under the continuing supervision of, but need not be receiving active treatment by, a health care provider. Examples include Alzheimer's, a severe stroke, or the terminal stages of a disease.

(e) Conditions requiring multiple treatments. Any period of absence to receive multiple treatments (including any period of recovery therefrom) by a health care provider or by a provider of health care services under orders of, or on referral by, a health care provider, for:

(1) Restorative surgery after an accident or other injury; or

(2) A condition that would likely result in a period of incapacity of more than three consecutive, full calendar days in the absence of medical intervention or treatment, such as cancer (chemotherapy, radiation, etc.), severe arthritis (physical therapy), or kidney disease (dialysis).

(f) Absences attributable to incapacity under paragraph (b) or (c) of this section qualify for FMLA leave even though the employee or the covered family member does not receive treatment from a health care provider during the absence, and even if the absence does not last more than three consecutive, full calendar days. For example, an employee with asthma may be unable to report for work due to the onset of an asthma attack or because the employee's health care provider has advised the employee to stay home when the pollen count exceeds a certain level. An employee who is pregnant may be unable to report to work because of severe morning sickness.

Notes of Decisions
Cited in 210 cases (89 in the last 5 years), 1995–2026 · leading case: Pollard v. New York Methodist Hosp., 861 F.3d 374 (2d Cir. 2017).
Pollard v. New York Methodist Hosp., 861 F.3d 374 (2d Cir. 2017). · cites it 11× “Pollard contends her case is covered, inter alia, under 29 C.F.R. § 825.115 (e)(2), which provides, (e) Conditions requiring multiple treatments.”
Jamie Smith v. AS Am., Inc., 829 F.3d 616 (8th Cir. 2016). · cites it 6× “” 29 C.F.R. §§ 825.115 (a), 825.115(c). “We have previously observed that although conditions like the common cold or the flu will not routinely satisfy the requirements of a ‘serious health condition,’ absences resulting from such illnesses are protected under FMLA when the…”
Patrick Hurley v. Kent of Naples, Inc., 746 F.3d 1161 (11th Cir. 2014). · cites it 8× “But, Hurley contended in the district court that his leave was protected because he had a chronic condition within the meaning of 29 C.F.R. § 825.115 . This section provides leave for any “period of incapacity or treatment for such incapacity due to a chronic serious health…”
Johnson v. Dollar Gen., 880 F. Supp. 2d 967 (N.D. Iowa 2012). · cites it 8× “114 (a), now 29 C.F.R. § 825.115 (a)); see also Woods, 409 F.”
Lichtenstein v. Univ. of Pittsburgh Med. Ctr., 691 F.3d 294 (3rd Cir. 2012). · cites it 2× “See 29 C.F.R. § 825.115 (a) (stating that ―continual treatment‖ requires ―[a] period of incapacity of more than three consecutive, full calendar days‖).”
Hurlbert Ex Rel. Est. of Hurlbert v. St. Mary's Health Care Sys., Inc., 439 F.3d 1286 (11th Cir. 2006). · cites it 2× “2 (n), 29 C.F.R. § 825.115 .” Under these provisions, the court reasoned, one must show that he is substantially limited or significantly restricted in the ability to perform either a class of jobs, or a broad range of jobs in various classes, as compared to an average person…”
Pollard v. New York Methodist Hosp., 134 F. Supp. 3d 681 (E.D.N.Y 2015). · cites it 22× “See 29 C.F.R. § 825.115 (a)-(e). The court finds that the first and fifth categories are relevant based on the record, which establishes that plaintiffs foot growth is unrelated to pregnancy and not a chronic, permanent, or long-term condition.”
Santiago v. Dep't of Transp., 50 F. Supp. 3d 136 (D. Conn. 2014). · cites it 6× “” 29 C.F.R. § 825.115 (c). • “Permanent or long-term conditions,” which is a “period of incapacity which is permanent or long-term due to a condition for which treatment may not be effective.”
Wonasue v. Univ. of Maryland Alumni Ass'n, 984 F. Supp. 2d 480 (D. Maryland 2013). · cites it 3× “” 29 C.F.R. § 825.115 (b). Thus, “[a]n employee who is pregnant may be unable to report to work because of severe morning sickness,” and need not “receive treatment from a health care provider during the absence” or be absent “more than three consecutive, full calendar days” to…”
Noorjahan Ramji v. Hosp. Housekeeping Sys., LLC, 992 F.3d 1233 (11th Cir. 2021). · cites it 3× “29 C.F.R. § 825.115 (a)(1)-(a)(2). Ramji’s knee injury satisfies all these definitions.”
James Hansen v. Fincantieri Marine Grp., LLC, 763 F.3d 832 (7th Cir. 2014). · cites it 2× “§ 2611 (11)(B), and a “period of incapacity,” 29 C.F.R. 825.115 (2009). “Incapacity” means the “inability to work .”
Dighello v. Thurston Foods, Inc., 307 F. Supp. 3d 5 (D. Conn. 2018). · cites it 3× “A period of incapacity of more than three consecutive, full calendar days, and any subsequent treatment or period of incapacity relating to the same condition ..."). According to the allegations of the Complaint, Plaintiff visited a doctor and was given a note that she needed to…”
— 29 C.F.R. § 825.115(a) — 1 case
— 29 C.F.R. § 825.115(c) — 1 case
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