commute reason for leave

We have an employee whose doctor has provided a note stating that she cannot commute to work more than three days per week because her back problem is exacerbated by her 2 hour (each direction) commute. She is seeking intermittent leave for the other day (she usually works a 4 day week). Do we have to provide the intermittent leave when it is not the work that she cannot do, but the commute?

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