Get the free SELF-CERTIFICATION MEDICAL FORM - students.shu.ac.uk

SHEFFIELD HALLAM UNIVERSITY Issue 06/16 RECERTIFICATION MEDICAL FORM 1 What is self certification? You may use the self certification procedure to report short periods of illness (15 days). This means

How to fill out self-certification medical form

How to fill out self-certification medical form:

1. Obtain the form: The self-certification medical form is usually provided by your employer or the organization requesting the form. Contact them to obtain a copy of the form if you don't already have one.
2. Read the instructions: Before filling out the form, carefully read any instructions or guidelines provided. This will ensure that you understand what information needs to be provided and how to correctly complete the form.
3. Personal information: Start by entering your personal information, such as your full name, date of birth, address, and contact details. This information is essential for identification purposes.
4. Medical history: Fill out the sections relating to your medical history. Provide any relevant details about past or existing medical conditions, allergies, medications, surgeries, or any other information requested. Be honest and accurate in your responses.
5. Contacts: In this section, you may be asked to provide emergency contact information. Include the names, phone numbers, and relationships of individuals who should be contacted in case of an emergency.
6. Signature and date: Once you have completed all the required sections, sign and date the form. This indicates that the information provided is true and accurate to the best of your knowledge.
7. Submit the form: Return the completed form to the appropriate party, such as your employer or the organization requesting the self-certification medical form. Follow any instructions they have provided for submission.

Who needs self-certification medical form?

1. Employees: Many employers require their employees to complete a self-certification medical form for various reasons, such as assessing fitness for work, managing health-related accommodations, or complying with legal obligations.
2. Students: Some educational institutions may require students to fill out self-certification medical forms to document any medical conditions or disabilities that may affect their education or require accommodations.
3. Sports or activity participants: Individuals participating in certain sports or activities, such as competitive athletics, may be required to complete self-certification medical forms to ensure they are physically fit to participate and to address any potential health risks.

Remember, it is always best to consult with the specific organization or employer that requires the self-certification medical form for detailed instructions and clarification on who needs to fill it out.

For pdfFiller’s FAQs

What is self-certification medical form?

A self-certification medical form is a document where an individual certifies their own medical condition.

Who is required to file self-certification medical form?

Individuals who need to report their medical condition to a certain authority or organization are required to file a self-certification medical form.

How to fill out self-certification medical form?

To fill out a self-certification medical form, an individual must provide accurate information about their medical condition and sign the form to certify its accuracy.

What is the purpose of self-certification medical form?

The purpose of a self-certification medical form is to ensure that individuals accurately report their medical condition for various purposes like eligibility for benefits or accommodations.

What information must be reported on self-certification medical form?

The self-certification medical form usually requires information about the individual's medical condition, treatment history, and any restrictions or accommodations needed.

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