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Medical Release Form To Return To Work Template for England and Wales

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Key Requirements PROMPT example:

Medical Release Form To Return To Work

"I need a Medical Release Form To Return To Work for an employee returning from long-term stress leave, including provisions for a phased return starting March 2025 and specific workplace adjustments for reduced screen time."

Document background
The Medical Release Form To Return To Work is essential documentation required when employees resume work following medical absence in England and Wales. This document ensures compliance with workplace health and safety regulations while protecting both employer and employee interests. It typically includes medical clearance, details of any work restrictions or required accommodations, and confirms the employee's capacity to perform their duties safely. The form addresses requirements under various legislation including the Health and Safety at Work Act 1974 and the Equality Act 2010, while respecting data protection requirements under UK GDPR.
Suggested Sections

1. Employee Information: Full name, position, department, employee ID

2. Medical Confirmation: Statement confirming fitness to return to work

3. Return Date: Specific date of return to work

4. Work Capacity Declaration: Any limitations or restrictions on work duties

5. Data Protection Notice: Statement about how medical information will be processed and stored in accordance with UK GDPR

6. Declaration and Signatures: Employee, healthcare provider, and employer signatures and date

Optional Sections

1. Workplace Adjustments: Details of any required workplace modifications or accommodations required for the employee's return

2. Phased Return Plan: Schedule and details for gradual return to full duties, including hours and responsibilities

3. Follow-up Requirements: Schedule and details of any required follow-up medical assessments or reviews

Suggested Schedules

1. Medical Report: Detailed medical assessment from healthcare provider including fitness evaluation

2. Risk Assessment: Workplace risk assessment detailing any hazards and control measures for the returning employee

3. Adjustment Plan: Detailed plan of workplace modifications and reasonable adjustments if required

Authors

Alex Denne

Head of Growth (Open Source Law) @ tiktok³ÉÈ˰æ | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Relevant legal definitions

























Clauses





















Industries

Health and Safety at Work etc. Act 1974: Primary legislation establishing employers' general duties to ensure employees' health, safety, and welfare in the workplace. Forms the foundation for workplace safety requirements.

Equality Act 2010: Protects against disability discrimination, requires reasonable adjustments for employees with medical conditions, and ensures medical information is not used in a discriminatory manner.

Data Protection Act 2018 and UK GDPR: Governs the handling of medical information as special category data, requires explicit consent for processing health data, and establishes data protection principles.

Access to Medical Reports Act 1988: Establishes employee rights regarding medical reports from doctors and requires consent before obtaining medical information.

Management of Health and Safety at Work Regulations 1999: Mandates risk assessments and includes specific provisions for returning employees to the workplace.

Fit Note Regulations: Provides guidelines around medical evidence for fitness to work and requirements for medical certification.

Employment Rights Act 1996: Protects employees' rights during medical leave and covers various aspects of the return to work process.

Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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