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PHYSICAL CAPACITY EVALUATION FOR RETURN TO WORK FORM Dear Doctor (please print): We have a formal Return to Work Program that provides temporary light/modified work assignments to our injured workers
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Who needs physical capacity evaluation for?

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Individuals applying for certain jobs that involve physical exertion, such as heavy lifting, bending, or operating machinery, may need to undergo a physical capacity evaluation.
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Athletes or sports professionals may require a physical capacity evaluation to assess their fitness level and determine their readiness for specific sports or activities.
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Individuals with disabilities or medical conditions who want to participate in certain activities or programs may need a physical capacity evaluation to ensure their safety and determine any necessary accommodations.
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Employees who have experienced a workplace injury and are returning to work may be required to undergo a physical capacity evaluation to assess their ability to perform job tasks and ensure a safe transition back to work.
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Insurance companies and legal entities may request a physical capacity evaluation to assess the functional capabilities and limitations of an individual for claims, disability assessments, or legal proceedings.
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It is used to assess an individual's physical abilities and limitations in relation to job requirements.
Employers may require employees to undergo a physical capacity evaluation.
The evaluation is usually filled out by a qualified healthcare professional.
The purpose is to ensure that employees are physically capable of performing job tasks.
It should include details of the individual's physical condition and any limitations.
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