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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."
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
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
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
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