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Fit For Work Evaluation Form
I, the undersigned Healthcare Assistant, give my consent to the undersigned
General Practitioner to disclose any medical information which may affect my ability
to perform
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How to fill out fit for work evaluation

How to fill out fit for work evaluation
01
Schedule an appointment with a healthcare provider who is familiar with the fit for work evaluation process
02
Bring any relevant medical records or documentation to the appointment
03
Be prepared to discuss your medical history, current symptoms, and any limitations you may have in performing your job duties
04
Complete any necessary forms or questionnaires provided by the healthcare provider
05
Follow any additional instructions or recommendations given by the healthcare provider to ensure accurate evaluation results
Who needs fit for work evaluation?
01
Employees who have been on long term sick leave
02
Employees who have been injured at work and need clearance to return to work
03
Employees who have been diagnosed with a medical condition that may affect their ability to perform job duties
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What is fit for work evaluation?
Fit for work evaluation is a process where an individual's ability to perform their job tasks is assessed to determine if they are physically and mentally capable of working.
Who is required to file fit for work evaluation?
Employers are typically responsible for initiating and filing fit for work evaluations for their employees.
How to fill out fit for work evaluation?
To fill out a fit for work evaluation, the individual or their healthcare provider must provide information on their medical history, current health status, and any limitations or accommodations needed.
What is the purpose of fit for work evaluation?
The purpose of fit for work evaluation is to ensure that employees are healthy and capable of performing their job duties safely and effectively.
What information must be reported on fit for work evaluation?
Fit for work evaluations typically include information on the individual's medical history, current health status, any limitations or accommodations required, and recommendations for returning to work.
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