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MEDICAL EVALUATION OF WORK STATUS FORM Occupational Medical Service, NIH Patient’s Impatient’s’s SSN Last 4 digits Diagnosis(BS) Functional restrictions are not recommended The following functional

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What is medical evaluation of work?

Medical evaluation of work is a process where a healthcare professional assesses an individual's fitness to perform specific job duties based on their physical and mental health.

Who is required to file medical evaluation of work?

The employer is usually responsible for filing the medical evaluation of work for their employees. However, specific requirements may vary depending on the jurisdiction and applicable laws.

How to fill out medical evaluation of work?

To fill out a medical evaluation of work, the employer usually provides the necessary forms or documentation to the employee. The employee then visits a healthcare professional who evaluates their fitness for the specific job duties and completes the relevant sections of the evaluation form.

What is the purpose of medical evaluation of work?

The purpose of medical evaluation of work is to ensure that employees are physically and mentally capable of performing their job duties without endangering themselves or others. It helps employers create a safe working environment and make informed decisions regarding job assignments and accommodations.

What information must be reported on medical evaluation of work?

The specific information required on a medical evaluation of work may vary, but it generally includes the employee's personal and medical history, results of relevant medical tests or examinations, and an assessment of their fitness for the job duties specified by the employer.

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