Medical Release to Return to Work Form - Printable PDF
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Medical Release to Return to Work Form - Printable PDF


ComplyRight™ printable medical release form for returning employees

Whenever an employee has been out with an illness or injury, it’s difficult to know when he or she should be allowed to return to work. This Printable Medical Release for Return to Work Form informs an employer when a previously sick or injured employee can return to the job. Once it is completed and signed by your employee’s doctor or health care provider, maintain a copy in each employee’s confidential medical file and help protect yourself from future claims of negligence or unsafe workplace practices.


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Several federal and state laws, including the Americans with Disabilities Act (ADA) and the Family and Medical Leave Act (FMLA), allow you to require proof of health as a prerequisite for an employee to return to work after an illness or injury. Medical certification is generally permitted if you have a reasonable belief that an employee’s injury or illness could:

  • Impair his or her ability to perform the essential functions of the job, with or without reasonable accommodation
  • Pose a direct threat to the health or safety of your workplace or to other persons in the workplace