Work and school

Your rights and options for keeping up with work or school during and after cancer treatment.

Rosa: Hi, I'm Rosa. Many people keep working or studying during treatment, and others need a break. Let's go over your rights and options so you can choose what fits you.

Many people keep working or going to school during treatment, and many take time off. Both are okay. Talk with your care team about what your treatment may feel like so you can plan.

You decide whether to tell your employer or school about your cancer, and how much to share. You may need to share some information to get time off or changes to your work.

Before you decide, think about what your days may look like. Some treatments cause tiredness, nausea, or trouble focusing. These effects can change from week to week. Your care team can tell you which days may be harder, so you can plan around them.

If you work, learn what your workplace offers. Read your employee handbook or ask human resources. Ask what benefits you have, how to request time off, and who will keep your health information private. Not every worker qualifies for every kind of leave, so it helps to ask early.

If you go to school, tell a trusted person such as a counselor, nurse, or teacher. They can help you get support and keep up with lessons. Parents can ask for a meeting with the school team before a child goes back.

It is normal to have mixed feelings about work or school. Some people find that a routine helps them feel like themselves. Others need more rest. You can change your plan at any time. Asking for help is a sign of strength.

Reasonable accommodations

The Americans with Disabilities Act (ADA) covers many workers with cancer. You may be able to ask for changes. Examples are a flexible schedule, remote work, or extra breaks. Ask in writing and keep copies.

Time off

The Family and Medical Leave Act (FMLA) may give you unpaid, job-protected leave for your own treatment. You can use it all at once or a few hours at a time for appointments. Some states add paid leave.

Income while you are out

Ask human resources about sick time, short-term disability, and long-term disability. Apply early, since paperwork can take weeks.

Students

Children and teens may qualify for a Section 504 plan or an IEP at school. These can allow a lighter workload, extra time, or home tutoring. College students can contact the disability services office.

Going back

Returning slowly, such as part time at first, often works best. Fatigue and trouble focusing can last a while. Ask about a written return plan. Groups that help with job rights are listed on Find help.

Who can help

A social worker or financial navigator at your cancer center can help you understand leave, benefits, and school plans. They can also help you fill out forms. Ask your care team for a referral.

Doctor's letters

Your employer or school may ask for a note from your doctor. Ask your care team to write one. Tell them what you need it to say, such as treatment dates or changes that would help you.

Keep records

Keep a folder with copies of letters, forms, and emails. Write down the names of people you talk to and the dates. This can help if questions come up later.

Pace yourself

Plan your hardest tasks for the times you feel best. Rest before you feel worn out. It is okay to say no to extra tasks. Short breaks can help you get through the day.

When to call your care team

Call if side effects make it hard to work or study. Call if you feel unsafe doing your job. Also call if you feel very sad, worried, or overwhelmed. Your team can adjust your care and connect you with support.

Last updated: 2026-10-27. Medically reviewed by Veli Bakalov, MD, medical oncologist (October 2026). General education from Step by Step, the patient portal of HemeOncBuddy.