Get CA CAlHR 754 2013
condition, including any time for treatment and recovery? Yes No If yes, estimate the beginning and ending dates for the period of incapacity: 2. Will the employee need to attend follow-up treatment appointments because of the employee's medical Yes No condition? If yes, estimate the schedule, if any, including dates of any scheduled appointments and the time required for each appointment, including any recovery period 3. 4. Will the employee need to work part time or on a reduced schedule.
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