Medical Return to Work Form

About this template

If you manage HR services for an employer, use our free Medical Return to Work PDF Template to collect doctor’s notes from employees on medical leave. Doctors releasing your employees simply need to fill out a short form with details about their current medical condition along with any restrictions. Once they’ve signed and submitted the form, this Medical Return to Work Template will convert that information into an easy-to-read PDF you can download or print for your records.

Using our drag-and-drop PDF Editor, you can quickly customize your Medical Return to Work Template to meet your needs. It’s easy to rearrange the template layout, add more sections for medical details, and rewrite the text to display the information as a formal letter. You can even add your company logo or change the fonts and colors to match your branding. Your custom Medical Return to Work Template will automatically generate professional PDFs containing information about each employee, their medical conditions, and their health care provider’s signature. By taking the pain out of the process, employees can communicate better with your HR department, make it easier for them to transition back to work.

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These templates are suggested forms only. If you're using a form as a contract, or to gather personal (or personal health) info, or for some other purpose with legal implications, we recommend that you do your homework to ensure you are complying with applicable laws and that you consult an attorney before relying on any particular form.