FITNESS TO WORK FORM – CONTINUED ILLNESS. A Fitness to Work Form completed by the employee’s physician shall be filed with the Employee Health Unit by the employee when fifteen (15) days have elapsed and every thirty (30) days thereafter, since the commencement of the illness, or the date of the last Fitness to Work Form, for the duration of the illness. The Fitness to Work Form shall provide information confirming the employee’s inability to work and/or medical restrictions, treatment regime, prognosis for recovery, expected return to work date, and any limitations that would prevent the employee from doing his/her job. This Fitness to Work Form will be used to assist in developing a return to work plan, including temporary modified work and to accommodate any disability which creates a barrier to successful return to the employee’s job, where such a plan and/or accommodation is possible. The employee will give written informed consent on the Fitness to Work form for the Employee Health Unit to seek clarification from the employee’s treating health care professional regarding the current condition that is affecting the employee’s ability to participate in an early return to work and/or modified work. The employee must cooperate with the Employee Health Unit’s ability to seek clarification to ensure the continuation of his/her sick leave benefits.
FITNESS TO WORK FORM – CONTINUED ILLNESS. A Fitness to Work Form completed by the employee’s physician shall be filed with the Employee Health Unit by the employee when fifteen (15) days have elapsed and every thirty
FITNESS TO WORK FORM – CONTINUED ILLNESS. A Fitness to Work Form completed by the employee’s physician shall be filed with the Employee Health Unit by the employee when fifteen (15) days have elapsed and every thirty (30) days thereafter, since the commencement of the illness, or the date of the last Fitness to Work Form, for the duration of the illness. The Fitness to Work Form shall provide information confirming the employee’s inability to work and/or medical restrictions, treatment regime, prognosis for recovery, expected return to work date, and any limitations that would prevent the employee from doing their job. This Fitness to Work Form will be used to assist in developing a return to work plan, including temporary modified work and to accommodate any disability which creates a barrier to successful return to the employee’s job, where such a plan and/or accommodation is possible. The employee will give written informed consent on the Fitness to Work form for the Employee Health Unit to seek clarification from the employee’s treating health care professional regarding the current condition that is affecting the employee’s ability to participate in an early return to work and/or modified work. The employee must cooperate with the Employee Health Unit’s ability to seek clarification to ensure the continuation of the nurse’s sick leave benefits.
