Medical Leave Form

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Medical Leave Form

This is a Medical Leave form which can be used for when you are ill or If the employee is unable to do so, the certificate must be provided as soon as is reasonable, and this medical leave form /Certificate have been issued by a nurse practitioner or physician. This form can download from the link given below in PDF format.

Medical Leave Form Download

A medical practitioner may decline to issue a certificate. This may occur if s/he does not consider that absence from work is necessary given the nature of the illness, or if a certificate is requested retrospectively and the practitioner is not confident about the facts of the matter.

Medical practitioners have important legal and professional responsibilities when issuing medical certificates. Specifically they must:

  •  Be honest and not misleading when issuing medical certificates
  • Only sign medical certificates they believe, or reasonably believe, to be accurate.

This means the medical certificate must be based on facts known to the doctor  – including the practitioner’s own observations as well as information provided by the patient. Any medical statements in the certificate must have a factual basis.

You can download the Medical Leave Form in PDF format using the link given below.

2nd Page of Medical Leave Form PDF
Medical Leave Form

Medical Leave Form PDF Free Download

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