We use these to return our employees to work for any non-work related injury/illness reason…..after fractures, cardiac caths/stress tests, maternity leave, surgeries, etc. For general illnesses that could in no way have restrictions such as lifting, etc (GI illness, strep throat, etc, we only require a MD note). If there are any restrictions written, we evaluate on an individual basis for reasonable accommodations. If an employee is cleared but we have concerns backed by objective data (ie. employee tells others they can’t lift or states their back is hurting, etc), on occasion, we may then send the employee for a Fit for Duty (our cost).

Kim Thompson RN, BSN
Employee Health Nurse Manager
Medical Center of McKinney
4500 Medical Center Drive - MOB, Suite 105
McKinney, TX     75069

972- 540- 4218 (phone)

469 - 713- 8660 (fax)

From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net] On Behalf Of Thrasher, Terri
Sent: Sunday, August 24, 2014 10:48 AM
To: MCOH/EH
Subject: Re: [MCOH-EH] Return to Work Form

Can you identify the goal of your RTW form.   Is this after employee injury or infectious illness or fitness for duty or ADA?   Or personal illness?

Thank you for your email.

Kindest regards,

Terri

Terri L. Thrasher RN MSN

Sr. Director HR Professional Services

Cincinnati Children’s Hospital Medical Center

3333 Burnet Ave MLC 9006

Cincinnati, Ohio 45229

513-636-6240 office

513-236-1202 cell

513-736-4305 pager

From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net] On Behalf Of Enass Awad
Sent: Sunday, August 24, 2014 9:15 AM
To: MCOH/EH
Subject: [MCOH-EH] Return to Work Form

Dear Colleagues:

  Will be very obliged if you can share drafts or templates of return to work forms that you use. We are developing a new form for the university employees and I will like to look at multiple formats before finalizing our own. This is a major science research university however employees' backgrounds range from teaching academic staff to adminsitrative staff to postdoc and postgraduate students.

Thanks in advance,

Enass.

--
Enass Awad A/Rahman,MD,MPH,FACOEM
Occupational Medicine Consultant
King Abdullah University of Science and Technology

Thuwal-Jeddah

Kingdom of Saudi Arabia

Tel: 0966128084102

Mobile :0966548543844

Email: enass.arahman@kaust.edu.sa

"We can enrich the world if we choose to embrace our similarities; we can destroy the world if we choose to emphasize our differences."