Get Health Professional's Report Of Worker's Function ... - City Of Toronto
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How to fill out the Health Professional's Report of Worker's Function - City of Toronto online
Filling out the Health Professional's Report of Worker's Function is an important step in ensuring that individuals receive appropriate support following workplace injuries or illnesses. This guide will provide clear instructions on how to complete the form online, making the process as straightforward as possible.
Follow the steps to effectively complete the form.
- Press the ‘Get Form’ button to access the document and open it in the editor.
- Complete Section A by entering your personal information including your social insurance number, employee number, and WSIB claim number if available. Provide your last name, first name, home telephone, address, postal code, date of accident or onset of illness, area of injury if applicable, job title at the time, department/division, work address, and supervisor's contact information.
- Proceed to Section B, which should be filled out by your treating health professional. They will provide information on the nature of your injury or illness, estimated recovery time, and whether complete recovery is expected. They will also indicate if any further treatment is required.
- In this section, the health professional must check the box that applies to the worker's ability to return to work, selecting from options like immediate return without restrictions, modified duties, or inability to work. They should also detail any functional limitations and the necessary precautions for lifting, carrying, pushing, pulling, hand function, reaching, sitting, standing, walking, climbing, stooping, bending, crouching, or kneeling.
- The health professional should state any contraindications to testing if functional abilities tests are recommended. Provide any specific limitations or additional precautions relating to medication effects, environment, or work hours.
- The health professional will print their name, title, address, and contact information, and sign the form with the examination date and the date of the next appointment.
- Section C requires the worker's consent. The worker must sign and date the authorization, allowing the health professional to share necessary information with the City and WSIB.
- After completing all sections, carefully review the form for accuracy, then save your changes, download a copy for your records, print it, or share it as required.
Complete your documents online to ensure timely communication and support for your functional needs.
In Ontario, employers can request specific medical information related to an employee's ability to perform their job. This may include details about an employee's health condition, treatment plans, and the necessity for accommodations. The Health Professional's Report Of Worker's Function is a crucial document that provides this information while ensuring confidentiality. It's important for employees to understand their rights regarding privacy and the information requested by their employers.
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