Medical Return To Work Form Template for Germany

1. Gradual Return Plan: Detailed schedule for stepped return to work (Hamburg Model), used when employee requires gradual reintegration

2. Workplace Modification Requirements: Specific equipment or environmental modifications needed, included when special accommodations are required

3. Follow-up Schedule: Planned medical review dates, included when ongoing medical monitoring is necessary

4. Risk Assessment: Evaluation of potential workplace risks related to the employee's condition, included for cases involving occupational injuries or chronic conditions

5. Emergency Response Plan: Special procedures in case of medical emergencies, included for employees with specific health risks

1. Schedule A - Gradual Return Timeline: Detailed week-by-week breakdown of working hours and duties for graduated return to work

2. Schedule B - Required Workplace Modifications: Detailed list of specific workplace adjustments or equipment needed

3. Appendix 1 - Medical Certification: Official medical certificate from the treating physician

4. Appendix 2 - Occupational Health Assessment: Evaluation report from company medical officer if required

5. Appendix 3 - Employee Consent Form: Written consent for sharing necessary medical information with relevant parties