The Return To Work Form From Doctor is a standardized medical documentation essential in the Nigerian workplace environment. This document is required when employees return to work following an extended absence due to illness, injury, or medical procedure. It serves multiple purposes: providing medical clearance for the employee's return, documenting any necessary workplace accommodations, and ensuring compliance with Nigerian labor laws and healthcare regulations. The form must be completed by a licensed medical practitioner and typically includes the doctor's assessment of the employee's fitness for work, any limitations or restrictions, and recommendations for workplace modifications if needed. This documentation helps protect both employer and employee interests while ensuring a safe and appropriate return to work process.
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1. Patient Information: Employee's full name, date of birth, employment details, and relevant identification numbers
2. Medical Provider Information: Doctor's name, medical license number, hospital/clinic details, and contact information
3. Absence Information: Period of absence, nature of illness/injury (within privacy limits), and dates of treatment
4. Fitness Declaration: Clear statement of employee's fitness to return to work and effective date
5. Work Capacity Assessment: Evaluation of employee's current capacity to perform regular duties
6. Medical Recommendations: Specific medical advice regarding return to work conditions and limitations
1. Workplace Modifications: Required when specific workplace adjustments or accommodations are needed for the employee's return
2. Graduated Return Plan: Used when employee needs a phased return to full duties
3. Follow-up Requirements: Include when ongoing medical monitoring or future assessments are needed
4. Specific Restrictions: Details of activities or conditions the employee must avoid, if applicable
5. Duration of Modifications: Timeframe for temporary adjustments or restrictions, used when modifications are not permanent
1. Detailed Medical Recommendations: Comprehensive medical guidelines and restrictions if too detailed for main form
2. Workplace Adjustment Plan: Detailed plan for implementing required workplace modifications
3. Progress Review Schedule: Timeline for reviewing employee's progress and adjusting recommendations
4. Risk Assessment: Evaluation of potential workplace risks related to the employee's condition
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