MEDICAL FORMS. All medical forms must be completed and returned to Xxxxx Center (health services) in order for a student to receive a room key for a residential room and building.
MEDICAL FORMS. All costs of medical reports requested by the Company will be reimbursed to a maximum of fifty percent (50%) upon proof of receipt. The receipt must be provided to the Benefits Coordinator and will be reimbursed on a quarterly basis through the payroll.
MEDICAL FORMS. I agree to have my child examined by a physician and to submit a health certificate (supplied by ThinkingCAP) before entering the child in After School Program, meeting the requirements set forth by the New York City Department of Health. No child will be allowed to begin the After School Program without a health certificate. Failure to comply may result in the temporary suspension or removal of your child from the program. (initial)
MEDICAL FORMS. An employee participating in the EIP will have her/his attending physician complete an Occupational Fitness Assessment (OFA) form that provides general information regarding her/his current injury/illness. The OFA is part of the Early Notification Package, and includes the employee authorization section.
MEDICAL FORMS. Annual completion of a physical examination form is required for participation in athletics at Wakefield. The Sports Physical form is available on the school website at xxx.xxxxxxxxxxxxxxx.xxx/xxxxxxxxxxxx. The exam from the previous year will expire on June 1st of each summer. If you completed your physical form in May, it will only be valid until June 1st. The form must be filled out by a physician that is NOT a member of the athlete’s immediate family. This is a tedious requirement, but one that is necessary for us to insure the safest possible conditions for your child’s participation in athletics.
MEDICAL FORMS. The Company shall pay up to forty dollars ($40.00) per form for each employee, for the completion of medical forms filled out by a doctor when requested by the Company or Insurance Carrier.
MEDICAL FORMS. Should the Employer require an employee to provide a medical form due to illness or injury, the cost of the form will be paid by the Employer to a maximum of one hundred dollars ($100) per form. Reimbursement of medical forms will be paid by the Employer, upon proof of payment by the employee.
MEDICAL FORMS. 2nd Chance Treatment Center requires full payment in advance for completion of FMLA forms. Completion of forms is not paid by your insurance company.
MEDICAL FORMS. Any cost incurred by the employee for the completion of medical forms which have been requested by the Company, will be reimbursed providing the employees provides such forms and the paid receipt.
MEDICAL FORMS. Any medical form or documentation requested by the Commission or the MTO shall be paid first by the employee and then be reimbursed in full by the Commission on the next pay period. The Commission will further reimburse employees for medical forms required by its group health insurance provider up to a maximum of two (2) occurrences per calendar year. Proof of the expense such as a receipt, is required for reimbursement.
