Medical Return to Work Form

A Medical Return to Work Form helps employers confirm an employee’s fitness to resume work after an illness, injury or medical leave. Completed by a doctor, it details the employee’s health status, any work restrictions, necessary accommodations or clearance for regular duties. This form supports a safe workplace while assisting the employee’s transition back to work.

An employee recovering from an illness, injury or medical procedure must complete a medical return to work form, with input from their healthcare provider. Employers may require this form to confirm the employee is fit to resume work and specify any necessary accommodations.

Employees should submit their medical return to work form to their employer’s HR department, manager or designated health and safety officer. Some workplaces may require submission through an occupational health provider or an internal system.