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Return To Work Medical Release
"I need a Return To Work Medical Release for an employee returning from long-term stress leave, with specific provisions for a phased return over 4 weeks starting March 2025 and including mental health support accommodations."
1. Employee Information: Basic details including name, position, department, and absence period
2. Medical Clearance Statement: Clear statement from healthcare provider confirming fitness to return
3. Work Restrictions: Any limitations or modifications needed for return to work
4. Consent Declaration: Employee's explicit consent for information sharing and GDPR compliance statement
5. Authorization Signatures: Spaces for healthcare provider, employee, and employer representative signatures
1. Phased Return Plan: Details of gradual return schedule, including hours and duties progression over time
2. Workplace Adjustments: Specific modifications or accommodations needed for the employee's return
3. Follow-up Requirements: Schedule of follow-up assessments and review dates
1. Medical Assessment Form: Detailed medical evaluation form completed by the healthcare provider
2. Risk Assessment: Workplace risk assessment considering the employee's medical condition
3. Occupational Health Report: Detailed recommendations from occupational health professionals
Authors
Authorised Healthcare Provider
Company
Confidential Medical Information
Employee
Employer
Fit Note
Healthcare Provider
Medical Clearance
Medical Release
Occupational Health Provider
Phased Return
Reasonable Adjustments
Return Date
Return to Work Plan
Risk Assessment
Workplace Accommodations
Work Restrictions
Working Hours
Workplace
Confidentiality
Health and Safety
Data Protection
Consent
Work Restrictions
Workplace Accommodations
Return to Work Conditions
Review Period
Compliance
Risk Assessment
Monitoring
Medical Information Handling
Occupational Health
Duty of Care
Reporting Requirements
Employee Obligations
Employer Obligations
Amendment Provisions
Signatures and Authorization
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