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Get Doctors Return To Work Form 2014-2024

Doctor s Phone Number: To be completed by the Doctor: After reading the attached job description and the specific work tasks for the specified job description please complete both A and B below and sign and date below. A. The above named employee has been released by the above listed doctor to return to work on a FULL DUTY status as of / / with NO RESTRICTIONS. B. The above named employee has been released by the above na.

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