Get Medigold Referral Form

Filling out the Medigold Referral Form online can be straightforward with the right guidance. This article will provide you with clear instructions to help you complete each section of the form accurately and effectively.

Follow the steps to complete the Medigold Referral Form online.

1. Click ‘Get Form’ button to obtain the form and open it for editing.
2. Enter the employee details in the personal section, including surname, forenames, date of birth, current address, contact numbers, email, and department. Ensure all information is clear and correctly spelled.
3. Provide the referring manager's details, including their name, job title, school/location, contact information, and email address. Double-check for accuracy.
4. Fill in the absence history, including the reason for referral, start date of absence, total days absent, and whether the individual has been referred to Occupational Health previously.
5. Complete the job description section, indicating the employee’s job title, main job duties, and whether the employee has management responsibilities. Include work hours and any unusual work aspects.
6. Answer questions related to the work environment, detailing where the employee works and any environmental conditions affecting their health.
7. Detail the physical requirements of the job, indicating the physical demands and the percentage of time spent on specific tasks such as driving.
8. Clarify the skills and qualifications needed for the job, and specify any special intellectual demands.
9. Document any performance changes observed in the employee, including timekeeping and attitude towards work and colleagues.
10. Indicate if any adjustments have been made regarding duties, hours, or location, and provide details about any other available positions.
11. Complete the checklist of documents, ensuring you include any necessary reports, certifications, and relevant information needed for the referral.
12. Answer the questions meant for the Occupational Health physician, providing comprehensive responses based on the employee's condition and work-related impacts.
13. Finally, have the referring manager (Headteacher) sign and date the form.
14. Once completed, you can save changes, download the form, print it, or share it as required.

Take the next step and complete your Medigold Referral Form online today.