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Return To Work Letter From Doctor
"I need a Return To Work Letter From Doctor for an employee returning from long-term illness, clearing them for a gradual return to work starting March 15, 2025, with specific workplace modifications for reduced lifting capacity and limited standing time."
1. Doctor's Details: Full name, medical credentials, practice address, and contact information of the issuing physician
2. Patient Information: Patient's full name, date of birth, and address (minimum necessary identifying information)
3. Date of Examination: The date when the patient was last examined and assessed for return to work
4. Return to Work Status: Clear statement of clearance for return to work, including specific date of return
5. Work Capacity: Specification of whether return is for full or partial capacity, including percentage if partial
6. Duration of Validity: Period for which the return to work clearance is valid
1. Specific Work Restrictions: Detailed list of any workplace restrictions or modifications required, used when patient has limitations
2. Gradual Return Plan: Scheduled increase in work hours/duties over time, included when a graduated return is recommended
3. Follow-up Requirements: Details of any required follow-up appointments or assessments, included when ongoing medical supervision is needed
4. Previous Condition Reference: Brief reference to the condition that caused absence, included only when relevant for workplace adjustments and with patient consent
5. Insurance Information: Relevant insurance case numbers or details, included when required for insurance claims
1. Medical Restrictions Detail Form: Detailed form outlining specific medical restrictions and accommodations if required
2. Graduated Return Schedule: Detailed timeline for increasing work hours or duties if applicable
3. Workplace Modification Checklist: List of required workplace modifications or accommodations if needed
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