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MEDICALLY CONFIDENTIAL Ill Health Management Referral Form (To be completed by manager or HR) 1. Employee Details SurnameFirst remarried / Single Date of Birthrate Addressable Tel. Now and / or Mobile
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01
Determine the purpose of filling out the ill health management form.
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Collect all necessary information such as personal details, medical history, and current health condition.
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Follow the instructions provided on the form to complete each section accurately.
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Provide detailed and specific information about your illness or health issues, including symptoms and duration.
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If applicable, attach any supporting documents such as medical reports or test results.
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Review the completed form for any errors or missing information.
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Submit the form to the designated authority or organization as per their guidelines.

Who needs ill health - management?

01
Individuals who are experiencing health issues or illnesses that require management.
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Employees who need to report an illness or health condition to their employer.
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Medical professionals who need to document and manage their patients' ill health.
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Organizations or authorities responsible for tracking and monitoring ill health cases.
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Ill health management refers to the process of identifying and addressing health issues within an organization to ensure the well-being of employees.
Employers are typically responsible for implementing and filing ill health management procedures for their employees.
Ill health management forms can usually be filled out by documenting employee health concerns, implementing preventative measures, and seeking medical advice when necessary.
The purpose of ill health management is to promote a healthy work environment, prevent health issues among employees, and address any existing health concerns.
Information such as employee health concerns, medical history, and any measures taken to address health issues should be reported on ill health management forms.
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