Fitness for duty form 2025

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A doctor of medicine or osteopathy who is authorized to practice medicine or surgery (as appropriate) by the State in which the doctor practices; or. Any other person determined by the Secretary to be capable of providing health care services.
The employee is required to provide a complete and sufficient Fitness for Duty Certification, completed by his or her health care provider, prior to returning to work from FMLA leave. This certification is being sought only with regard to the particular health condition that caused the employees need for FMLA leave.
A fitness-for-duty examination is a medical exam to determine whether a current employee is physically or mentally capable of performing their job duties, noted Carolyn Rashby, an attorney with Covington in San Francisco.
Completed certification forms should be given to the employee to provide to the employer, as it is the employees responsibility to provide the employer with the completed certification.
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