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Medical Return to Work Form

Medical Return to Work Form

A Medical Return to Work Form is a document completed by a healthcare provider to confirm an employee’s ability to resume work after a medical leave. It may include work restrictions, accommodations, or clearance for full duties.

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Medical Return to Work Form verifying an employee's fitness to resume work after medical leave

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Medical Return to Work Form verifying an employee's fitness to resume work after medical leave page 0

Medical Return to Work Form verifying an employee's fitness to resume work after medical leave page 1

Frequently asked questions

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.

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