OPINION
Plaintiff Deborah Branham brought suit under the Family and Medical Leave Act (“FMLA”) after being terminated from her job as a receptionist for The Dickson Herald, a newspaper owned by Gannett Satellite Information Network, Inc. (“Gannett”), for excessive absenteeism. The district court granted summary judgment to Gan-nett. The court held that although Bran-ham produced a medical certification of her need for leave within the fifteen-day period afforded by Department of Labor regulations, Gannett was entitled to deny her leave based on an earlier “negative certification” — a form from a physician indicating that Branham was not incapacitated. Because we conclude that Gannett never properly triggered Branham’s duty to provide a medical certification, we REVERSE.
I. BACKGROUND
The district court discussed the facts material to the dispute between Branham and Gannett:
Plaintiff was first employed as a receptionist for The Dickson Herald from November 21, 2003 to January 15, 2004. Plaintiff was terminated from her position for excessive absenteeism.
Plaintiff was rehired as a receptionist by The Dickson Herald on July 26, 2005, and was terminated on November 24, 2006 for failure to follow the company attendance policy. Plaintiffs regularly scheduled work hours were from Monday through Friday, 8:00 a.m. to 5:00 p.m. Plaintiffs immediate supervisor was Tracy Buhler, the Office Manager for The Dickson Herald. Ms. Buhler reported to Buddy Hargett, the General Manager for The Dickson Herald. Mr. Hargett reported to Terri Leifeste, the Vice President of Middle Tennessee Community Newspapers (“MTCN”), which publishes The Dickson Herald.
Plaintiffs absences in November, 2006 began on November 7, 2006. In her deposition, Plaintiff testified that she was absent from her employment on Tuesday, November 7, 2006 because her son was ill, and she called and so advised Ms. Buhler. The next day, Wednesday, November 8, 2006, the Plaintiff sent an email to Ms. Buhler at approximately 9:26 a.m. stating that she would not be in because her son was still sick. On Thursday, November 9, 2006, the Plaintiff left a voice mail message for Ms. Buhler stating that she was sick and would be absent from work. On Friday, November 10, 2006, Plaintiff again left a message for Ms. Buhler that she was sick and would be absent from work.
On Monday, November 13, 2006, Plaintiffs husband left a message for Ms. Buhler that Plaintiff was sick and that he would be taking her to the doctor. On that day, Plaintiff was examined by Dr. Pamela Singer at the Dickson Family Medical Group. According to the Plaintiff, she told Dr. Singer that she was suffering from migraine headaches, menstrual problems, depression, insomnia, and a stomach virus. Dr. Singer found the Plaintiff[’s exam] to be “normal” and expected her to return to full work duty on November 14, 2006. Plaintiff testified that she talked with Ms. Buhler later that day and told her that Dr. Singer had released her to come to work the following day. Plaintiff testified that she also told Ms. Buh-ler that she wasn’t feeling well, and would need to be absent to attend other doctors’ appointments during November *566 and December. FN1 Plaintiff further testified that Ms. Buhler told her to come in to the office and sign a form for short term disability[] leave. According to the Plaintiff, Ms. Buhler also told her she could do some work from home or after hours to help with the month-end “close-out.”
The next day, Tuesday, November 14, 2006, Plaintiff did not report to work during her regular shift. According to Dr. Singer, the Plaintiff was released to return to work on this day. The Plaintiff did come into work late at night to complete some paperwork and fill out a medical certification form.
Plaintiff did not report to work on Wednesday, November 15, 2006, and Thursday, November 16, 2006, but claims to have worked from home on postal reports and subscription issues. Ms. Buhler testified in her deposition that she faxed the medical certification form to Dr. Singer’s office on November 15, 2006, and due to a malfunction with Dr. Singer’s fax machine, had to fax the form again on November 16, 2006.
On Friday, November 17, 2006, Plaintiff did not report to work during regular office hours, but states that she worked after hours. That same day, according to Ms. Buhler, Dr. Singer’s office faxed the completed medical certification form back to Ms. Buhler. Through that form, Dr. Singer indicated that Plaintiffs condition commenced on November 10, 2006, and that she could perform her full duty as of November 14, 2006, and did not require intermittent leave.
On Monday, November 20, 2006, Plaintiff did not report to work or call in to explain her absence. Ms. Buhler met with M[T]CN Vice President Terri Leif-este and Human Resources Vice President Kathy Cheatham on that day to discuss Plaintiffs absence. Ms. Cheat-ham advised Ms. Buhler to contact the Plaintiff and let her know that her job would be in jeopardy unless she could produce other medical documents confirming her need to be off. Ms. Buhler advised the Plaintiff as she was instructed. Plaintiff told Ms. Buhler that the wrong doctor filled out the certification form, and stated that Dr. Koster Peters, her primary care physician at the Dickson Family Medical Group, could provide clarification if Defendant faxed the certification form to him. Ms. Buhler advised the Plaintiff to call Kathy Cheat-ham.
On Tuesday, November 21, 2006, Plaintiff did not report to work. Plaintiff testified that she spoke with Ms. Cheatham that day, and Ms. Cheatham expressed her concern that it was taking the Plaintiff so long to return a medical certification form to support her absences. Also, on November 21, 2006, Ms. Buhler attempted to fax the certification form to Dr. Peters, as requested by Plaintiff, but had problems with the fax machine. Consequently, Ms. Buhler and Ms. Leifeste decided that Alvin Leifeste, the Circulation Manager for the MTCN group, would take the certification form completed by Dr. Singer to the physicians’ office the next day and speak with the doctors in person.
On Wednesday, November 22, 2006, Plaintiff did not report to work. That same day, Mr. Leifeste took the form completed by Dr. Singer, as well as a blank certification form, to the offices of Dr. Singer and Dr. Peters at the Dickson Family Medical Group. Mr. Leif- *567 este spoke with an employee at the physicians’ office, Katie Moran, and told her there was a question about the accuracy of the form completed by Dr. Singer, and asked if the doctor would review the form for accuracy, and explained that he had a blank form the doctor could use if the completed form was inaccurate. Ms. Moran said she would take the form back to the doctor, along with the Plaintiffs medical records, for review. When Mr. Leifeste suggested that Dr. Peters review the form, Ms. Moran told him that Dr. Peters would not fill out the form because he was not the doctor who had actually seen the Plaintiff. When she returned from speaking with Dr. Singer, Ms. Moran told Ms. [sic] Leif-este that the doctor had looked at the certification form, that it was accurate, and that she did not wish to make any changes.
The next day, Thursday, November 23, 2006, was Thanksgiving Day, and the Defendant’s offices were closed.
On Friday, November 24, 2006, Plaintiff did not report to work. Kathy Cheatham spoke with Terri Leifeste by telephone on that day, and they jointly decided to terminate Plaintiffs employment. Terri Leifeste called the Plaintiff to advise her of the termination, but could not reach her and left a message for the Plaintiff to call back. When the Plaintiff did not call back, Ms. Leifeste directed Ms. Cheatham to draft a termination letter to send to the Plaintiff by registered mail.
On Monday, November 27, 2006, Plaintiff did not report to work. On that same day, Ms. Cheatham drafted and sent the termination letter, over the signature of General Manager Buddy Hargett, to the Plaintiff by registered mail. The termination letter was dated November 24, 2006, the day the termination decision was made, and states that Plaintiffs termination was based on her failure to follow company attendance policy by being absent from work since Dr. Singer released her to work on November 14, 2006.
On Tuesday, November 28, 2006, Plaintiff did not report to work. The termination letter was mailed at 9:44 а.m. on that same day. Plaintiff testified that she spoke on the telephone with Ms. Cheatham, who told her that she had been terminated.
After 6:00 p.m. that evening, the Defendant received a faxed certification form signed by a nurse practitioner, Cheryl Seefeldt, who worked in that same practice as. Dr. Singer and Dr. Peters. Ms. Seefeldt’s certification contradicts the certification of Dr. Singer with respect to the duration of the Plaintiffs incapacity. According to Nurse Seefeldt, Plaintiffs illness began on May б, 2006 and was expected to prevent her from returning to work until January 1, 2007. However, Plaintiff admits that Dr. Singer was the only health care provider to examine her between November 7, 2006 and November 24, 2006.
Branham v. Gannett Satellite Info. Network, Inc.,
No. 3:08-700,
On July 18, 2008, Branham filed a complaint in federal district court alleging that Gannett violated the FMLA by interfering with her use of FMLA leave and by terminating her in retaliation for seeking FMLA leave. Branham moved for partial summary judgment on May 4, 2009, and Gannett moved for summary judgment on July 6, 2009. On August 19, 2009, the district court denied Branham’s motion and granted summary judgment in full to Gannett. The court observed that an employer may require an employee to provide *568 a medical certification supporting her request for FMLA leave and that the employer must allow the employee fifteen days to provide such certification. Id. at *6. The court acknowledged that Gannett fired Branham before the fifteen-day period expired and that Branham provided a supporting certification on the fifteenth day, but it concluded that Gannett was entitled to terminate Branham on the eleventh day, when it received a “negative certification” from Dr. Singer and confirmed that neither Dr. Singer nor Dr. Peters would certify Branham’s need for FMLA leave. Id. at *7. “Under these circumstances,” the district court explained, “the Court is not persuaded that the Defendant was required to delay its termination decision until receipt of the second, unanticipated medical certification.” Id. Branham then filed this appeal.
II. ANALYSIS
A. Standard of Review
We review a district court’s grant of summary judgment de novo and draw all reasonable inferences in favor of the nonmoving party.
DiCarlo v. Potter,
B. Summary Judgment
“The FMLA entitles an ‘eligible employee’ to up to twelve weeks of leave per year if the employee has a ‘serious health condition’ that prevents the employee from performing the functions of her job.”
Hunter v. Valley View Local Schs.,
To prevail on either her interference claim or her retaliation claim, Branham must prove that she was entitled to FMLA leave.
See Novak v. MetroHealth Med. Ctr.,
Gannett advances two bases on which to affirm the district court’s judgment. First, it contends that Branham cannot prove that she had a serious health condition that prevented her from performing the functions of her job — reasoning on which the district court ultimately did not rely. Second, Gannett reiterates the argument accepted by the district court, that Gannett was entitled to terminate Bran-ham for excessive absenteeism on the basis of the negative certification received from Dr. Singer. We address each in turn.
*569 1. Whether Branham Can Prove a “Serious Health Condition”
As noted, Branham cannot prevail on her interference or retaliation claims unless she sought leave for an FMLAqualifying reason, namely, that she had a “serious health condition” that prevented her from doing her job. 29 U.S.C. § 2612(a)(1)(D). The FMLA defines “serious health condition” as “an illness, injury, impairment, or physical or mental condition that involves (A) inpatient care ... or (B) continuing treatment by a health care provider.” 29 U.S.C. § 2611(11). Bran-ham does not contend that she ever required inpatient care, so her claim turns on her need for continuing treatment. Department of Labor regulations define “continuing treatment” as “[a] period of incapacity (i.e., inability to work ...) of more than three consecutive calendar days, and any subsequent treatment or period of incapacity relating to the same condition, that also involves: (A) [tjreatment two or more times by a health care provider ... or (B) [tjreatment 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.” 29 C.F.R. § 825.114(a)(2)(i) (2006) (amended 2009) (emphasis omitted). 1
Gannett argues that Branham cannot prove that her condition involved “continuing treatment” because she cannot establish that she was incapacitated for a period of more than three days. This argument is unavailing. To be sure, Bran-ham admitted in her deposition that she was not sick on Tuesday, November 7, or Wednesday, November 8, days on which she missed work in order to care for her son. She further admitted that she either performed some work or did not work but was “not incapacitated” on every day on which her office was open between Tuesday, November 14, and Tuesday, November 28. Dist. Ct. Document (“Doc.”) 35-1 (Branham Dep. at 148-51). This testimony cannot be construed as a legal admission, however. Branham agreed that she was “not incapacitated” only after the following exchange with defense counsel:
Q: And then on the 15th you say you worked from home, true?
A: True.
Q: But you were not incapacitated, true?
A. I still wasn’t feeling well.
Q: I understand, but you weren’t incapacitated. You obviously were able to do some work, true?
A: True.
Doe. 35-1 (Branham Dep. at 149) (emphases added). Plainly, Branham understood defense counsel’s use of the word “incapacitated” to refer to the inability to do any work. 2 In fact, “incapacity” refers to the inability to “perform the functions of the position of such employee,” 29 U.S.C. § 2612(a)(1)(D), which in turn is defined as being “unable to work at all or ... unable to perform any one of the essential functions of the employee’s position,” 29 C.F.R. *570 § 825.115 (2006) (amended 2009). That is, a person can be incapacitated despite being able to do some of her regular work. Here, the very basis of Branham’s suit is that she was not able to perform the essential functions of her job throughout the period of her absences in November 2006. She submits her testimony, her medical records, and Nurse Practitioner Seefeldt’s certification as evidence of that incapacity. 3
Even if Branham’s deposition testimony were viewed as preventing her from arguing incapacity from November 14 through 28 — which, to reiterate, it does not — Bran-ham consistently has maintained that she was incapacitated between Thursday, November 9, and Monday, November 13. That Thursday, she left Buhler a voicemail message indicating that she was sick; that Friday, she left Buhler another voicemail message indicating that her migraines were keeping her home; then, her “migraine was so bad [that she] had been in bed for the entire weekend and could not tolerate any light or sound,” Doc. 35-1 (Branham Dep. at 79); and the following Monday, Branham’s husband informed Gannett that he was taking her to the doctor. These facts indicate that Branham was incapacitated for five consecutive calendar days. Gannett points to different evidence: a document from Branham’s medical records in which Dr. Singer listed the duration of Branham’s illness as “2 days.” Doc. 35-6 at 78 (Medical Records). But Branham does not accept Dr. Singer’s evaluation and provides her own testimony and a conflicting medical opinion in support of her position. This is the essence of a factual dispute that precludes summary judgment.
In short, Branham has advanced sufficient evidence to create a genuine issue of material fact on the incapacity element of the “continuing treatment” requirement.
Gannett next argues that Branham cannot establish “continuing treatment” because she cannot show that she was treated by a health care provider twice within her period of incapacity or that a regimen of continuing treatment resulted from the single doctor’s visit she did have. Again, Gannett is wrong on both counts.
First, there is evidence that Branham was treated by two health care providers during her period of incapacity: Dr. Singer on November 13, and Nurse Practitioner Seefeldt on November 28. The issue is whether the Seefeldt visit qualifies as a “treatment ... by a health care provider” under 29 C.F.R. § 825.114(a)(2)(i) (2006). The regulations’ definition of “treatment” states that the term “includes (but is not limited to) examinations to determine if a serious health condition exists and evaluations of the condition.” 29 C.F.R. § 825.114(b) (2006). Seefeldt’s certification includes several diagnoses, reflecting that some sort of examination took place, and Gannett appears to acknowledge as much. See Appellee’s Br. at 14 n. 6 (stating that Branham was “seen by” Seefeldt). The regulations also define a “health care provider” to include nurse practitioners such as Seefeldt. 29 C.F.R. § 825.118(b)(2) (2006).
It is irrelevant that Branham saw See-feldt after Gannett received Dr. Singer’s
*571
negative certification and after Gannett terminated her. At this stage of the analysis, the question is not whether Gannett was entitled to terminate Branham when it did based on the FMLA’s certification requirements — an issue we discuss below— but rather whether Branham can prove that she suffered from a “serious health condition.” That is, the question is whether Branham can prove to a jury that she received “continuing treatment” by showing that she received “[tjreatment two or more times by a health care provider.” 29 C.F.R. § 825.114(a)(2)(i)(A) (2006). The only timing requirement relevant to this inquiry is that the second treatment must occur during the same period of incapacity as the first, defined to include the original period of more than three consecutive calendar days of incapacity and any subsequent period of incapacity relating to the same condition.
See id.; Jones v. Denver Pub. Schs.,
Second, Branham may also be able to use her examination by Seefeldt to show a “serious health condition” based on “[tjreatment by a health care provider on at least one occasion which resulted] in a regimen of continuing treatment under the supervision of the health care provider.” 29 C.F.R. § 825.114(a)(2)(i)(B) (2006). Seefeldt’s certification indicates under the heading “Regimen of Treatment” that Branham required “greater than 5” physician visits, including “several appointments with orthopedist, ob/gyn, and [primary care physician] over the next month and a half for surgery, medication adjustments, injections.” Doc. 28-2 at 3 (Seefeldt Cert.). Seefeldt also wrote that she anticipated referring Branham to additional health care providers, that Branham would need to work less than her normal schedule, and that she could return to full duty on January 1, 2007. Branham testified in her deposition that she did see other physicians after this visit, including an obstetrician/gynecologist to investigate whether her migraines were hormonal and to treat fibroids, an orthopedist for a cyst on her wrist and her trigger-finger condition, and her primary-care physician, Dr. Peters, for her migraines and insomnia. Thus, this evidence of a regimen of continuing treatment following the Seefeldt visit also precludes summary judgment.
2. Whether Gannett Could Terminate Branham on November 24, 2008, Based on Dr. Singer’s Certification
Gannett’s second argument for summary judgment is its theory that the FMLA permitted it to terminate Branham based on her failure to present a medical certification of her incapacity. To assess this argument, we review the regulatory framework in which the certification requirement exists.
To claim FMLA leave when the circumstances giving rise to the need for such leave are not foreseeable, an employee must give notice to her employer “as soon as practicable under the facts and circumstances of the particular case.” 29 C.F.R. § 825.303(a) (2006). “The employ
*572
ee need not expressly assert rights under the FMLA or even mention the FMLA.”
Id.
§ 825.303(b) (2006). She “gives sufficient notice when [she] provides enough information for the employer to reasonably conclude” that leave is needed for a serious health condition.
Perry v. Jaguar of Troy,
The FMLA requires an employee to deliver the certification “in a timely manner.” 29 U.S.C. § 2613(a). The regulations specify that when leave is unforeseeable, the employer must give the employee at least fifteen calendar days to provide the requested certification, and more time if it is not practicable under the circumstances to do so within fifteen days. 29 C.F.R. § 825.305(b). “If an employee fails to provide a medical certification within” the period of fifteen days (or longer, depending on the circumstances), “the employer may delay the employee’s continuation of FMLA leave.” 29 C.F.R. § 825.311(b) (2006) (amended 2009). “If the employee never produces the certification, the leave is not FMLA leave.” Id. If, on the other hand, the employer terminates the employee before giving her the full fifteen-day period to provide a certification, the employer has violated the FMLA. Killian v. Yorozu Auto. Tenn., Inc., 454 F.3d 549, 555 (6th Cir.2006).
Gannett contends (1) that Branham was required to provide a medical certification supporting her need for FMLA leave; (2) that before the fifteen-day period expired, Branham’s doctor provided a certification indicating that Branham did not require leave; and (3) that Gannett was entitled to rely on that negative certification and was not required to allow Branham the remainder of. the fifteen-day period to secure a second certification supporting her claim for leave. Branham responds that she disputed Dr. Singer’s assessment and that the FMLA guaranteed her fifteen days to secure a second opinion. The parties thus focus our attention on an issue of first impression in this circuit: when an employee provides a negative certification- — • that is, a certification indicating that she does not have a serious health condition that prevents her from performing her job — must the employer wait the full fifteen days prescribed by regulation before denying leave on the basis of that negative certification?
The district court answered this question “no.” It relied primarily on
Nawrocki v. United Methodist Retirement Communities, Inc.,
We need not decide the issue today, however, because there is an independent fatal flaw in Gannett’s argument for summary judgment. Branham satisfied her notification requirement on November 13, 2006, when she asked Buhler “about taking leave, because [she] still wasn’t feeling well and had numerous doctors’ appointments scheduled for November and December.” Doc. 35-1 (Branham Dep. at 88) (internal quotation marks omitted). But Gannett never properly triggered the additional duty to provide a medical certification supporting her claim. The district court found that Gannett requested certification on November 13, the day on which Buhler told Branham over the phone to come to the office and sign a short-term-disability form to “see if she qualified for anything.” Doc 28-3 (Buhler Dep. at 51). In her deposition, however, Buhler testified that “Michele and I never at any time discussed FMLA leave.” Doc 28-3 (Buhler Dep. at 54). It is true that Gannett’s short-term-disability form doubled as its FMLA leave form, but it is clear that Buhler communicated to Branham no information about the FMLA certification requirement, the fact that such certification was due within fifteen days, or the consequences of failing to return an adequate certification. Doc. 28-3 (Buhler Dep. at 58) (stating that she did not provide Branham a deadline); Doc 28-4 (Kling Dep. at 40-41) (stating that Buhler should have provided this information). Even if Buhler had conveyed all the appropriate information, her oral request would have been insufficient to activate Branham’s certification duty because there is no evidence that Branham requested leave and received written notification of the requirement in the previous six months, 4 or that the requirement appeared in the employee handbook that Branham should have received when she first joined Gannett in November 2003. See Doc. 28-4 (Kling Dep. at 13-21) (reading sections of handbook about FMLA but not mentioning certification requirement).
We therefore must conclude that Gannett was not entitled to delay or deny leave to Branham on the basis of the certification requirement. “Because there is no evidence that defendant requested medical certification pursuant to the requirements of the FMLA,”' — and, in fact, all the evidence confirms that Gannett did
not
make a proper request — '“[Branham's] failure to provide medical certification does not support summary judgment for defendant.”
Perry,
III. CONCLUSION
For the reasons explained above, we hold that the district court erred when it granted summary judgment to Gannett based on the submission of a negative medical certification indicating that she could return to work. Branham has produced sufficient evidence to create a genuine issue of material fact about her entitlement to FMLA leave, and Gannett was not permitted to deny her leave based on the certification requirement when it never properly requested certification or informed her of the consequences of failing to provide the same, as required by Department of Labor regulations. Accordingly, we REVERSE the district court’s grant of summary judgment to Gannett and REMAND the ease for further proceedings consistent with this opinion.
Notes
Ms. Buhler testified that she recalled this conversation as having taken place on November 15, 2006. For purposes of the Defendant’s summary judgment motion, die Court will assume the conversation took place on the date claimed by the Plaintiff.
. The Department of Labor recently promulgated revised regulations interpreting the FMLA. Those regulations took effect on January 16, 2009, after the events giving rise to this suit occurred.
See
73 Fed.Reg. 67934. Therefore, we apply the regulations in place at the time of the events in question.
See Morris v. Family Dollar Stores of Ohio, Inc.,
. Revealingly, in another part of her deposition, Branham testified that she “was still out of it pretty much most of the day on the 14th,” that she was incapacitated on November 15, and that she was not “feeling up to par” on November 15 or 16. Doc. 35-1 (Branham Dep. at 102).
. Gannett argues that Seefeldt's certification "is nonsensical on its face” because it “purports to certify Branham for a condition commencing on May 6, 2006, and continuing through November 28, 2006,” a period during which Branham showed up to work most of the time. Appellee's Br. at 14 n. 6. This is an argument that Seefeldt's certification is unpersuasive. It is an argument that can be made at trial to a jury, which reasonably could rely on Seefeldt's certification and the rest of Branham’s evidence that her illnesses prevented her from performing the functions of her job.
. Nancy Kling, who testified as a Federal Rule of Civil Procedure 30(b)(6) witness for The Dickson Herald, stated that "Branham used the FMLA the first time that she was employed by us, so I would think that she was familiar with the procedure." Doc. 28-4 (Kling Dep. at 15). That request for leave, however, took place well over six months before the November 2006 request.