Fitness Work Form PDF Details

When it comes to getting fit, there are a lot of different ways to go about it. Some people prefer to hit the gym, while others may choose to go for a run or lift weights at home. No matter what your chosen workout routine is, it's important that you do it safely and correctly in order to avoid injury. In this blog post, we'll provide some tips on how to perfect your fitness form so you can get the most out of your workouts. Stay safe and have fun!

QuestionAnswer
Form NameFitness Work Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesfit to work form template, duty work form, fitness for duty return to work form, fitness work form

Form Preview Example

Fitness for Duty/Return to Work Form

Medical authorization from attending physician is required for employees returning to work from family and medical leave. This form must be returned to the Human Resources prior to or before returning to work.

Employee Section

Employee Name/Patient: (Last, First) _____________________________________

Date of Injury/Illness: __________________________________________________

CWID: _____________________________

Physician Section

May resume work immediately with no restrictions

May resume work immediately with the following restrictions:

Sedentary work (sitting, occasional walking, standing, lifting less than 10 lbs.)

Light work (lifting less than 20 lbs.)

Medium work (lifting less than 50 lbs.)

Heavy work (lifting less than 100 lbs.)

He/She is released to work:

_______ Hours per day

His/Her normal shift

He/She may return to work at full duty on (date) _______

He/She has a return appointment on (date) and (time) _______ at (time) _______

_________________________________

_________________________________

Physician Signature

Physician Name (print)

_________________________________

_________________________________

Date

Phone Number (include area code)

_________________________________

_________________________________

Street Address

City, State and Zip Code

Collin College, Human Resources Department, Collin Higher Education Center,

3452 Spur 399, McKinney, Tx 75069 Fax: 972-985-3778

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Completing this document will require care for details. Make sure every blank is done accurately.

1. The fitness for duty return to work form usually requires certain information to be typed in. Make sure the following blanks are finalized:

fitness for work form conclusion process clarified (stage 1)

2. Just after finishing this part, head on to the next stage and enter the necessary particulars in all these blank fields - HeShe may return to work at full, HeShe has a return appointment on, Physician Signature, Date, Street Address, Physician Name print, Phone Number include area code, City State and Zip Code, Collin College Human Resources, and Spur McKinney Tx Fax.

Stage number 2 in completing fitness for work form

A lot of people generally make errors when filling in Collin College Human Resources in this area. Be sure to go over everything you type in here.

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