Alberta works medical form pdf 2025

1. Click ‘Get Form’ to open the alberta works medical form PDF in our editor.
2. Begin with Section 1, where you will need to clearly print your last name, first name, and birth date. Ensure your mailing address is accurate for correspondence.
3. In Section 2, provide your consent by filling in your name and address. This section allows you to authorize a physician or nurse practitioner to share your health information with the Income Support worker.
4. Section 3 contains important messages for the physician/nurse practitioner. Review this section carefully as it outlines the responsibilities regarding the disclosure of medical information.
5. Proceed to Section 4 for the Medical Assessment. Fill in details about your primary and secondary health problems, treatment recommendations, and any limitations that may affect employment.
6. Finally, ensure that all sections are completed accurately before saving or printing the document for submission.

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