Home
Forms Library
Work capacity medical certificate

Work capacity medical certificate pdf 2025

work capacity medical certificate Preview on Page 1

See details

4.8 out of 5

125 votes

The document is a Work Capacity medical certificate used by Work and Income to assess an individual's ability to work in light of their health conditions, injuries, or disabilities. It includes sections for client details, barriers to work, expected capacity improvements, treatments received, and recommendations for accommodations. The certificate aims to facilitate appropriate work expectations and support individuals in returning to suitable employment.

Here's how it works

01. Edit your work capacity medical certificate online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send work capacity medical certificate pdf via email, link, or fax. You can also download it, export it or print it out.

How to change Work capacity medical certificate pdf online

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

With DocHub, making changes to your documentation takes only a few simple clicks. Make these fast steps to change the PDF Work capacity medical certificate pdf online free of charge:

Sign up and log in to your account. Sign in to the editor using your credentials or click Create free account to evaluate the tool’s features.
Add the Work capacity medical certificate pdf for redacting. Click on the New Document button above, then drag and drop the file to the upload area, import it from the cloud, or via a link.
Alter your file. Make any changes required: add text and pictures to your Work capacity medical certificate pdf, highlight information that matters, remove sections of content and substitute them with new ones, and insert icons, checkmarks, and fields for filling out.
Complete redacting the form. Save the updated document on your device, export it to the cloud, print it right from the editor, or share it with all the parties involved.

Our editor is super user-friendly and efficient. Give it a try now!

See more work capacity medical certificate pdf versions

We've got more versions of the work capacity medical certificate pdf form. Select the right work capacity medical certificate pdf version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2013	4.8 Satisfied (125 Votes)
2010	4.4 Satisfied (136 Votes)

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is the purpose of the Work Capacity medical certificate?

The Work Capacity medical certificate provides information to Work and Income to help set appropriate work expectations and assist individuals in returning to work.

How do I fill out the client details section?

In the client details section, provide the client's number, full name, residential address, and date of birth.

What should I include when describing barriers to work?

List any health conditions, injuries, or disabilities that present barriers or limitations to work. Include a diagnosis and its READ code.

How do I indicate if a person’s capacity to work is expected to improve?

You can tick options indicating whether their capacity is expected to improve for full-time or part-time work with appropriate accommodations and support.

What types of treatment or support should be mentioned?

Mention any treatments such as medication or counseling that the person is receiving to manage or improve their condition.

work capacity medical certificate form

Work capacity medical certificate pdf free Work Capacity medical certificate pdf free download Work capacity medical certificate PDF winz free download Work Capacity medical certificate form Work capacity medical certificate download WINZ work Capacity medical certificate form Work Capacity medical certificate nz Work Capacity Evaluation form

What is considered a medical certification?

The medical certification is a document that an employer may require for an employee to take an FMLA leave year . Commonly, the employee will have fifteen calendar days to deliver the medical certification. A health care provider must issue the medical certification.

What is a medical certificate for work?

Purpose and applications Medical certificates are often used to certify that someone is free of contagious diseases, drug addiction, mental illness, or other health issues. Health criteria are often required when making an application for something, such as an eye examination to get a drivers license.

What is the easiest medical certificate to get?

What is the easiest healthcare certification to get? Certifications such as Certified Clinical Medical Assistant (CCMA) or Medical Front Office Assistant tend to have the most straightforward requirements.

What is a work capacity form?

The final form discussed, the OWCP 5c is a work capacity evaluation form and this form is used to ask your doctor about specific limitations with regard to your ability to return to work.

What do they check for a medical certificate?

The AME tests vision, hearing, general health, and cardiovascular health. The AME will also attempt to determine if the applicant has any conditions that will cause the pilot to become incapacitated during flight, or any other reason for a medical certificate denial.