Maryland Certification of Health Care Provider under the FMLA of 1993

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Multi-State
Control #:
US-289EM
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Description

This form is used by a health care provider to give an assessment of an employee's health.
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FAQ

The Family and Medical Leave Act (FMLA) provides certain employees with up to 12 weeks of unpaid, job-protected leave per year. It also requires that their group health benefits be maintained during the leave.

Key Elements of the Federal Family and Medical Leave ActOverview.Covered Employers.Eligible Employees.Employer Notice Requirements.Employee Notice Requirements.Intermittent Leave and Reduced Leave Schedule.Maintenance of Health Benefits.Military Family Leave Entitlements.More items...

1993; Requires employers with 50 or more workers to grant up to 12 weeks of unpaid leave a year to allow workers to take time off to help care for a new baby or an ill family member without fear of losing their jobs.

Under federal regulations, a "health care provider" is defined as: a doctor of medicine or osteopathy, podiatrist, dentist, chiropractor, clinical psychologist, optometrist, nurse practitioner, nurse-midwife, or a clinical social worker who is authorized to practice by the State and performing within the scope of their

The Act defines health care provider as: A doctor of medicine or osteopathy who is authorized to practice medicine or surgery (as appropriate) by the State in which the doctor practices; or. Any other person determined by the Secretary to be capable of providing health care services.

The FMLA was signed into law by President Bill Clinton in 1993. It allows workers to take up to 12 weeks of unpaid leave to bond with a newborn, newly adopted or newly placed child; care for a seriously ill child, spouse or parent; or care for their own serious health condition without fear of losing their jobs.

Healthcare Professional means any member of the medical, dental, pharmacy or nursing professions or any other person who in the course of his or her professional activities may prescribe, recommend, purchase, supply, or administer a pharmaceutical product.

Three Important Components of the Family Medical Leave Actthe birth of a child and to care for the child after birth;the placement of a child with the employee for adoption or foster care;to care for the spouse, child, or parent of the employee who has a serious health condition;More items...

Fill out Section 2 of the form. If you are completing form WH-380-F, you will be required to provide information about the family member you are caring for during FMLA leave; such as their full name, your relationship to one another, and a description of your methods for providing care for that person.

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Maryland Certification of Health Care Provider under the FMLA of 1993