Statement of fitness for work pdf 2025

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  1. Click ‘Get Form’ to open the statement of fitness for work PDF in our editor.
  2. Begin by entering the patient's name in the designated field. Ensure accuracy as this is crucial for identification.
  3. In the assessment date section, input the date you evaluated the patient’s condition. This helps establish a timeline for their fitness status.
  4. Next, specify the conditions affecting the patient's ability to work. Be clear and concise to provide a comprehensive overview.
  5. Indicate whether the patient is not fit for work or may be fit with certain advice. Select the appropriate option based on your assessment.
  6. If applicable, discuss potential adjustments like a phased return, amended duties, or altered hours. Fill in these details to support workplace reintegration.
  7. Provide comments regarding functional effects of the condition(s) in the comments section to give further context.
  8. Specify the duration for which this assessment applies by filling in start and end dates.
  9. Finally, sign and date the document at the bottom before saving or sharing it directly from our platform.

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An employees medical details are protected by FMLA and HIPAA laws. Employers may not request information about their medical conditions or copies of medical records. However, an employer can ask for certifications of the condition and call the doctor to confirm the information on the doctors note.
The fit note provides a prompt for the GP to assess the functional effects of the patients condition, to evaluate whether the patient could return to work if certain adjustments were made, and provides more space to encourage further detailed discussion between the patient and their employer.
Fit to work or fitness to work is a medical assessment done when an employer wishes to be sure an employee can safely do a specific job or task. The purpose is to determine if medically the employee can perform the job or task under the working conditions.
How to get a fit note. You can request a fit note from Ariel Healthcare using our online system to complete a form. Once you have completed the form, your GP will get in contact to either issue a fit note to say that youre fit to work or book an appointment to see you face-to-face.
Taken sick leave for more than 7 days in a row? You can view and download your Fit Note via the NHS App. Once you are in the NHS App, click view your GP health records.
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An employee can return to work before their fit note has run out, if they want to. However, they should make sure theyre well enough. They could talk with their doctor about this. The employer should talk with the employee to make sure theyre not putting their health at risk by returning early.
Background. Form Med 3; the Statement of Fitness for Work (commonly known as the fit note) is issued for statutory sick pay and social security purposes and provides medical evidence that an individual has a health condition that impacts on their fitness for work.

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