Re: ODSP File Review - File 309250326 - Response to Request for Information I am writing in response to the review notice received January 2026. The following documentation confirms my ongoing eligibility and current medical status. I live with Crohn's disease with a high-output ileostomy, persistent post-concussive symptoms following traumatic brain injury consistent with Post-Concussion Syndrome, chronic malnutrition, and chronic spinal instability. I am currently post-laparotomy (January 2026), recovering from a small bowel resection and stoma resiting. My ileostomy produces 2-3 litres of output daily. I cannot support my own body weight for more than 60 seconds and require a walker for all public mobility. Due to traumatic brain injury causing executive dysfunction and memory fragmentation, I require all correspondence in written form. This is a medical accommodation requirement under the Ontario Human Rights Code. Documentation available on request: - Clinical note confirming spinal instability, February 2026 (Juravinski Hospital) - OT home assessment, March 2026 - Surgical record, January 2026 laparotomy (Dr. S. Forbes, McMaster/Juravinski) Matthew Gordon Herbert DOB: 1988-11-29 | Health Card: 6827-485-050 GC | ODSP File: 309250326 No Fixed Address, Cambridge ON STATUS: DRAFT - Requires professional review before submission.

Dear Dr. [Name], I am writing to request a Letter of Medical Necessity (LMN) supporting the procurement of an adjustable bed frame. This is required for ODSP discretionary benefit funding and may also support Ontario Renovates (Wellington County) and ADP pathway applications. My occupational therapist (Jo-Anne, Ontario Health atHome via Care Partners) completed a home assessment in March 2026 and identified an adjustable bed as a required equipment need. A clinical note from February 2026 (Juravinski Hospital) confirms progressive spinal instability over 6 months. I am unable to reposition independently during sleep and wake with pain documented at 8/10. Relevant diagnoses: - Crohn's disease with high-output ileostomy (requires repositioning for ostomy management during the night) - Chronic spinal instability, progressive (documented February 2026) - Persistent post-concussive symptoms following traumatic brain injury - Post-laparotomy recovery, January 2026 The LMN should confirm that an adjustable dual-motor bed frame is medically necessary to allow safe head and foot elevation, support ileostomy management during sleep, and reduce pain and injury risk. Please address to: ODSP Caseworker Valerie Banville, Ministry of Children Community and Social Services. Matthew Gordon Herbert | DOB: 1988-11-29 | Health Card: 6827-485-050 GC matthew@natico.ca | 519-835-2771 (written contact preferred) STATUS: DRAFT - Requires physician name and review before sending.

To Whom It May Concern, I am writing to formally request a written communication accommodation for all interactions with [Organization Name]. I live with a traumatic brain injury resulting in persistent post-concussive symptoms including executive dysfunction, memory fragmentation, and auditory processing difficulties. These are documented conditions that directly impair my ability to reliably participate in telephone-only communication. This is a disability-related barrier under the Accessibility for Ontarians with Disabilities Act (AODA) and the Ontario Human Rights Code. I am requesting that all communications regarding my file be conducted via email or written correspondence. I am not requesting an exception to timelines — I am requesting equal access through a channel I can reliably use. Preferred contact: matthew@natico.ca This accommodation is consistent with your organization's obligations under Section 5 of the AODA and Section 1 of the Ontario Human Rights Code. Matthew Gordon Herbert | DOB: 1988-11-29 | Health Card: 6827-485-050 GC No Fixed Address, Cambridge ON STATUS: DRAFT - Requires recipient name and organization.