Get Tamu Engineering Certification Of Health Care Provider Form 2016-2025

Filling out the TAMU Engineering Certification Of Health Care Provider Form is essential for employees needing to document a family member's health condition for sick leave and FMLA eligibility. This guide will provide step-by-step instructions to assist users in accurately completing the form online.

Follow the steps to complete the form online effectively.

1. Click ‘Get Form’ button to access the document in your preferred editor.
2. In Section I, provide the employee's name and the name of the patient. Next, specify the relationship to the employee by selecting one of the options provided, such as child, spouse, parent, or other.
3. Describe the care you will provide to your family member, estimating the leave needed to fulfill this responsibility. Ensure you include both the nature of the care and the expected duration.
4. In Section II, the health care provider must fill out their details, including their name, type of practice, and contact information.
5. Under Part A, the health care provider must provide medical facts, symptoms, and diagnosis related to the patient’s condition. It's important for the provider to be specific and to attach additional statements if needed.
6. Answer the questions regarding the patient’s condition, including whether it involves pregnancy or the expected duration of the condition.
7. In the FMLA eligibility section, check any applicable categories related to the patient's medical condition. This could include various types of incapacity or treatment requirements.
8. Move to Part B, where the health care provider checks the applicable statements about the level of care the patient requires from the employee and estimates any necessary follow-up appointments.
9. After completing all sections, ensure both the employee and the health care provider sign and date the form.
10. Finally, save the changes to the form and use the options available to download, print, or share the document as needed.

Complete the TAMU Engineering Certification Of Health Care Provider Form online to ensure your documentation is efficiently processed.