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Employment Insurance Medical Certificate
"I need an Employment Insurance Medical Certificate for an employee returning to work after long-term illness, requiring specific workplace adjustments and a phased return plan starting from March 2025, with particular attention to confidentiality due to the sensitive nature of the medical condition."
1. Patient Information: Basic details including full name, date of birth, NHS number, and address
2. Medical Practitioner Details: Name, qualification, GMC number, and practice details of the certifying doctor
3. Medical Condition Assessment: Description of the medical condition and its impact on work capability
4. Fitness for Work Statement: Clear statement about whether the patient is fit for work, with or without adjustments
5. Duration: Period for which the certificate is valid, including start and end dates
1. Workplace Adjustments: Recommended modifications to working conditions, used when patient could work with adjustments
2. Specialist Referral Information: Details of any specialist consultations, used when condition requires specialist input
3. Return to Work Plan: Phased return details, used when patient is ready for graduated return
1. Medical History Summary: Relevant medical history if required for insurance purposes
2. Diagnostic Test Results: Relevant test results supporting the medical assessment
3. Consent Forms: Patient consent for sharing medical information with employer/insurer
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