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Return to Work Release Form Counselor Participant Name: License #: (Print or type client s/patient s name) Case Manager: Case # The above counselor has been under my/our care since / /. (month) (day)
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What is return to work release?
Return to work release is a document from a healthcare provider that allows an individual to return to work after being out for a medical reason.
Who is required to file return to work release?
Employees who have been out of work due to a medical reason and are ready to return to their job are required to file a return to work release.
How to fill out return to work release?
To fill out a return to work release, an individual must visit their healthcare provider, who will evaluate their medical condition and determine if they are fit to return to work. The provider will then provide the necessary documentation.
What is the purpose of return to work release?
The purpose of return to work release is to ensure that individuals are medically cleared to return to work and can safely perform their job duties without any health risks.
What information must be reported on return to work release?
Return to work release typically includes the date of evaluation, the healthcare provider's contact information, the individual's medical condition, any restrictions or accommodations needed, and the date of clearance to return to work.
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