Get Emory University Medical Release To Return To Work Form 2022-2025

Completing the Emory University Medical Release To Return To Work Form is essential for employees returning from a medical leave. This guide will provide clear, step-by-step instructions to help users fill out the form accurately and submit it correctly to ensure a smooth transition back to work.

Follow the steps to complete the form online.

1. Press the ‘Get Form’ button to access the form and open it for editing.
2. In the section labeled 'Print Employee Name', clearly write the name of the employee returning to work.
3. Indicate whether the employee can return to work without restrictions by checking the appropriate box or specifying the effective return date.
4. If there are physical limitations, specify those restrictions in the provided spaces. Fill in details such as lifting limitations, maximum hours of work, and other relevant physical capabilities.
5. In the next section, indicate any schedule restrictions or maximum working hours per day and days per week.
6. Add any additional comments regarding restrictions if full duty is not permitted, using the space provided.
7. Enter the specific date through which the restrictions will be in place, along with the next appointment date and estimated full duty return date.
8. The healthcare provider must sign and date the form, followed by entering their printed name and contact information including address, phone, and fax number.
9. Once all fields are complete, review the form for accuracy, then save changes, download, print, or share the completed form as necessary.

Fill out the Emory University Medical Release To Return To Work Form online today to ensure your smooth return to work.