return to work form from doctor
The note should verify the necessity of your absence from work recommend a length of absence and mention any special accommodations you may need in order to return to work. This certificate is attached to your return to work application for proof of the reason for your absence.
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My signature indicates that I have read and understand the employees job description and the listed tasks within the job description and that my findings are based on my medical assessment of this employees physical capabilities as compared to the essential functions of the job.
. The player must return this form to their club who must retain a copy and provide to their League if requested. A doctors note can also offer you some protection in the event your company decides to use your absence as a reason for withholding a promotion or even firing you. If you have taken leave from work due to a medical reason you will have to attach a doctors note to your return to work letterIt is standard procedure in many workplaces to ask for a doctors note for medical leaves.
The player must take this form to a Doctor to receive a medical clearance from any symptoms of concussion before returning to full contact training or playing Australian Football. Physicians Name Please Print. From Doctor After Leave of Absence.
----- DECLARATION OF FITNESS TO RETURN TO PLAY.
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