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Get the free Return to Work/Physical Capability Form - brockton ma

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WORK CAPACITY FORM RE:DEPT:DOI:JOB TITLE:WORK RESTRICTIONS: LIFTING LIMITED TO:CARRYING LIMITED TO:PUSHING/PULLING LIMITED TO:POSITION LIMITATION:No Lifting No Carrying No Pushing//Pullinn9No Exposure
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How to fill out return to workphysical capability

01
Obtain the return to workphysical capability form from your employer.
02
Schedule an appointment with a healthcare provider who can assess your physical capabilities.
03
Attend the appointment and undergo any necessary physical exams or tests.
04
Provide the completed form to your employer.

Who needs return to workphysical capability?

01
Employees who have been on medical leave or have a medical condition that may affect their ability to perform their job duties.
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Return to work physical capability refers to an evaluation that determines an employee's ability to perform their job duties after a period of absence due to a medical condition.
Employees who have been on medical leave and are ready to return to work are required to file return to work physical capability.
Employees can fill out return to work physical capability form with the help of their healthcare provider, who will assess their physical capabilities and limitations for returning to work.
The purpose of return to work physical capability is to ensure that employees are fit to resume their job duties without risking further injury or health complications.
Return to work physical capability form must include details of the employee's medical condition, any restrictions or limitations, and recommendations for accommodations if necessary.
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