EAGLE MOUNTAINX&SAGINAW INDEPENDENT SCHOOL DISTRICT February 11,2015, Kourtney Glaser 10401 Turning Leaf Trail Ft. Worth, Texas 76131 Dear Mis. Glaser: Ithas been reported to District Administration that you have demonstrated behaviors while at work impacting your ability to satisfactorily complete your job responsibilities. It was reported that on January 28, 2015 that you were attending a District ‘raining. Once you arrived atthe location, while inthe vehicle, you stated, "i cannot get out ofthe ca.” It was observed that you were anxious, sweating, and your cheeks were red. Your immediate supervisor told you that you did not have a choice and that you must get out of the car to attend training. Once inside, you looked at your supervisor and stated, “Oh God, it's happening again." At that time, you excused yourself to the restroom. After some time inthe restroor, you were found inthe hallway crying. ‘twas determined that you should go home to care for yourself. As you were being driven to your campus, you reported to the Director of Elementary Services that there was so much blood that it looked lke a crime scene. Ithas also been reported that there have been other orcasions where you must excuse yourself because of female bleeding due to severe anxiety. Additionally, you have ingicated to your direct supervisor that you cannot speak in public to groups. You stated that when you do, people do not have heads, For your own safety and in the best interest ofthe District, the District is requiring that you provide an opinion from the following health care provider(s) about your ability to perform the duties of your position as an Elementary Assistant Principal ‘The Districts requesting that you receive two medical opinions: a} OB/Gynecologst of your choice concerning your report of symptoms of female bleeding in December and January; and 6) Or. lames E. Willams: Psychotherapist. Or. James office is located: Metropolitan Center for Counseling and Psychotherapy, 6737 Brentwood Star Road, Ste 26, Fort Worth, Texas 76132. Attached isthe job description forthe position of Assistant Principal. Please have your health care provider(s) review the job duties and complete the enclosed medical information release and the Statement of Functional Capacity Form. Also, please sign and provide the enclosed Authorization for Release of Patient Information to bath doctors. The District wil pay for these ‘examinations. If yoU notify us ofthe name of the O8/GYN yau elect to see, we will contact that office in advance to attempt to ‘make arrangements for payment. If either doctor requires you to pay, provide your receipt for payment and the Dstit will reimburse Return these forms to Karen Duke, in the Human Resources office, no later than February 20, 2015, For further questions, you ‘an contact me at 817-232-0880 12758. Respectfully, Kw Dube Karen Duke Director of Secondary Staffing