Dp 2496-2025

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146 votes

The document is a certification form for physicians or healthcare providers under the Family and Medical Leave Act (FMLA), detailing the process for certifying an employee's serious health condition. It outlines the necessary information to be provided regarding the patient's condition, treatment requirements, and the impact on the employee's ability to work. The form includes categories of serious health conditions, such as hospital care, chronic conditions, and pregnancy, along with specific questions to assess the need for medical leave.

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Versions	Form popularity	Fillable & printable
1997	4.7 Satisfied (146 Votes)

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