Emory University Medical Release to Return to Work Form 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the employee's name in the designated field. This ensures that the form is correctly attributed.
3. Indicate whether the employee can return to work without restrictions. If so, fill in the effective date of their return.
4. If there are physical limitations, specify these in the provided fields, including any weight restrictions and duration limits for activities such as sitting or standing.
5. Detail any schedule restrictions, including hours per day and days per week that the employee is limited to working.
6. Complete the healthcare provider information section on the next page, ensuring all contact details are accurate.
7. Finally, have the healthcare provider sign and date the form before submitting it via fax to HR Employee Relations.

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